Individual
MR. EDWARD CORNELIUS SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
15756 FORRER STREET, DETROIT, MI 48227
(313) 273-8510
(888) 270-1773
Mailing address
15756 FORRER STREET, DETROIT, MI 48227
(313) 273-8510
(888) 270-1773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L2550286
MI
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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