Individual
ANITA MARI GOSSELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3138 BIDDLE AVE, WYANDOTTE, MI 48192-5925
(734) 284-0100
Mailing address
2267 PROGRESS AVE, LINCOLN PARK, MI 48146-2556
(313) 687-3660
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002657
MI
Other
Enumeration date
03/30/2019
Last updated
03/30/2019
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