Individual
ANA JACQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 W 9 MILE RD STE B6, FERNDALE, MI 48220-1749
(248) 298-3607
Mailing address
195 W 9 MILE RD STE B6, FERNDALE, MI 48220-1749
(248) 298-3607
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007000
MI
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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