Individual
ALICIA KAY NELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
442 CENTURY LN STE 200, HOLLAND, MI 49423-4294
(616) 510-6555
Mailing address
8736 SUNBURST DR, ZEELAND, MI 49464-8305
(616) 994-3062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002250
MI
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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