Individual
TATIANA PROZHOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5226 WASHTENAW ST, BURTON, MI 48509-2032
(810) 620-6892
Mailing address
5226 WASHTENAW ST, BURTON, MI 48509-2032
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004331
MI
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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