Individual
MRS. VALERIE CHRISTINE FORDYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
224 E MAIN ST, NILES, MI 49120-2304
(269) 362-3380
Mailing address
2264 N 5TH ST, NILES, MI 49120-1102
(269) 362-3380
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005967
MI
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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