Organization
FENTON MASSAGE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA CHRISTINA MOLASKI (BUSINESS OWNER)
(810) 354-8330
Entity
Organization
Contact information
Practice address
1250 N LEROY ST, FENTON, MI 48430-2760
(810) 354-8330
Mailing address
1250 N LEROY ST, FENTON, MI 48430-2760
(810) 354-8330
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
833744561
—
MI
Enumeration date
02/21/2020
Last updated
03/05/2020
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