Individual
TIFFANY DANPOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3186 SUMMERS RD, KEEGO HARBOR, MI 48320-1372
(248) 798-1718
Mailing address
3186 SUMMERS RD, KEEGO HARBOR, MI 48320-1372
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101784
MI
225700000X
Massage Therapist
7501007778
MI
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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