Individual
LEA BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8555 MONROE RD, DURAND, MI 48429-1036
(517) 214-5435
Mailing address
8012 ROSE LN, GOODRICH, MI 48438-9206
(810) 252-7688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003521
MI
Other
Enumeration date
01/11/2016
Last updated
08/20/2016
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