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Individual

JESSICA JENSINE NOLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.T.

Contact information

Practice address
24781 5 MILE RD # 103, REDFORD, MI 48239-3632
(313) 739-3731
Mailing address
8275 CLOVERLAWN ST, DETROIT, MI 48204-3227
(313) 739-3374

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MI
174400000X
Specialist
Primary
225700000X
Massage Therapist
Primary
7501007560
MI

Other

Enumeration date
04/25/2012
Last updated
02/03/2026
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