Individual
SAMUEL DEROSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37681 SANDSTONE TRL, NEW HAVEN, MI 48048-3729
(618) 319-0945
Mailing address
37681 SANDSTONE TRL, NEW HAVEN, MI 48048-3729
(618) 319-0945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501012056
MI
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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