Individual
MRS. STEPHANIE KRISTINE MIRELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
201 EAST GRAND RIVER, EAST LANSING, MI 48823
(517) 290-6425
Mailing address
201 E GRAND RIVER AVE, EAST LANSING, MI 48823-4323
(517) 290-6425
Taxonomy
Speciality
Code
Description
License number
State
2470A2800X
Assistant Health Information Record Technician
Primary
751003851
MI
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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