Individual
MS. JACQUELINE D GRUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57731 MAIN ST, NEW HAVEN, MI 48048-2627
(586) 646-5665
Mailing address
57731 MAIN ST, NEW HAVEN, MI 48048-2627
(586) 646-5665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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