Individual
JAYNE POYNER-WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20465 LEXINGTON BLVD, NORTHVILLE, MI 48167-1337
(248) 660-3919
Mailing address
20465 LEXINGTON BLVD, NORTHVILLE, MI 48167-1337
(248) 660-3919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011341
MI
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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