Organization
JCJ WHOLISTIC HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH COLEMAN JR. LMT (CEO)
(313) 408-0498
Entity
Organization
Contact information
Practice address
18451 HEYDEN ST, DETROIT, MI 48219-3410
(313) 408-0498
(888) 900-1093
Mailing address
19800 HAZELHURST ST, SOUTHFIELD, MI 48075-7307
(313) 408-0498
(888) 900-1093
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
BUS2012-00404
MI
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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