Individual
SHANNON C WEILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18447 WOODBINE, FRASER, MI 48026-2184
(586) 855-4064
Mailing address
18447 WOODBINE, FRASER, MI 48026-2184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000561
MI
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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