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Individual

MS. SAVANAH LAINE MICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19 S BANK ST, EASTON, PA 18042-4553
(908) 328-8049
Mailing address
19 S BANK ST, EASTON, PA 18042-4553
(908) 328-8049

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG010589
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
N/A
PA
Enumeration date
04/07/2021
Last updated
04/07/2021
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