Individual
PATRICIA LEA MAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S GRAND ST, SCHOOLCRAFT, MI 49087-9499
(269) 679-5530
(269) 679-5530
Mailing address
PO BOX 337, SCHOOLCRAFT, MI 49087-0337
(269) 679-5530
(269) 679-5530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3222441
—
MI
Enumeration date
01/29/2008
Last updated
01/29/2008
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