Individual
DOMINIC ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT BC MMP
Contact information
Practice address
11353 JACKSON AVE, WARREN, MI 48089-3029
(810) 569-5538
Mailing address
11353 JACKSON AVE, WARREN, MI 48089-3029
(810) 569-5538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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