Individual
MR. EMANUEL BORDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
12020 LAKEPOINTE ST, DETROIT, MI 48224-4110
(313) 617-4208
Mailing address
12020 LAKEPOINTE ST, DETROIT, MI 48224-4110
(313) 617-4208
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007293
MI
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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