Individual
MRS. MIA YI TOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7908 OAKLAND DR, KALAMAZOO, MI 49024
(269) 323-1733
Mailing address
321 PRETTY LAKE HTS, KALAMAZOO, MI 49009-9722
(740) 466-3773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2470384
—
OH
Enumeration date
12/06/2006
Last updated
11/02/2012
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