Individual
ANGELA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35560 GRAND RIVER AVE, SUITE 225, FARMINGTON HILLS, MI 48335-3123
(734) 276-3424
Mailing address
21194 BLACKMAR AVE, WARREN, MI 48091-4377
(313) 208-6338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
J552067108577
MI
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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