Individual
NINA MARIA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29350 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1028
(248) 350-6462
(248) 357-6462
Mailing address
29350 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1028
(248) 350-6462
(248) 357-6462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011497
MI
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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