Individual
MRS. STACEY VIPOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCTMB
Contact information
Practice address
2369 PINCH HWY, CHARLOTTE, MI 48813-8776
(734) 772-2605
Mailing address
2369 PINCH HWY, CHARLOTTE, MI 48813-8776
(734) 772-2605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004390
MI
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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