Organization
PRO CARE MASSAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY TUCKER (OWNER)
(313) 704-3586
Entity
Organization
Contact information
Practice address
16000 W 9 MILE RD, SOUTHFIELD, MI 48075-4808
(313) 704-3586
Mailing address
18336 AVON AVE, DETROIT, MI 48219-2954
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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