Individual
EMANUEL BUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30585 SANDHURST DR APT 205, ROSEVILLE, MI 48066-7724
(313) 355-3024
Mailing address
30585 SANDHURST DR APT 205, ROSEVILLE, MI 48066-7724
(313) 355-3024
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010615
MI
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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