Individual
QUANITA NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2243 E 12 MILE RD, WARREN, MI 48092-5644
(586) 567-6826
Mailing address
23602 STEWART AVE, WARREN, MI 48089-5720
(586) 567-6826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014522
MI
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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