Individual
JETAUN M ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
591 BETTY LANE DR, INKSTER, MI 48141-1019
(734) 272-8423
Mailing address
591 BETTY LANE DR, INKSTER, MI 48141-1019
(734) 272-8423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010369
MI
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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