Individual
ADIA MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
35560 GRAND RIVER AVE STE 225, FARMINGTON HILLS, MI 48335-3123
(734) 276-3424
Mailing address
2715 COVENTRY CT, FLINT, MI 48503-5431
(810) 875-3234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007262
MI
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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