Individual
TA-TANISHA BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16130 GLASTONBURY RD, DETROIT, MI 48219-4138
(313) 587-8203
Mailing address
16130 GLASTONBURY RD, DETROIT, MI 48219-4138
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015420
MI
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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