Individual
STEFANIE ANNE SANBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5063 OAKVIEW AVE, HARRISON, MI 48625-9014
(989) 941-8902
Mailing address
5063 OAKVIEW AVE, HARRISON, MI 48625-9014
(989) 941-8902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007624
MI
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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