Individual
NIKELA MATHEW MOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 GRANDVILLE AVE, DETROIT, MI 48228-1712
(313) 334-0904
Mailing address
1410 SHARE AVE APT 201, YPSILANTI, MI 48198-6559
(313) 334-0904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011971
MI
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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