Individual
KRISTINA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7740 ALLEN RD, ALLEN PARK, MI 48101-1795
(313) 402-0398
Mailing address
7740 ALLEN RD, ALLEN PARK, MI 48101-1795
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002696
MI
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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