Individual
MARYANN HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1770 E GRAND RIVER AVE, SUITE 300, EAST LANSING, MI 48823-4907
(517) 230-8193
Mailing address
812 CLARK ST, LANSING, MI 48906-5526
(517) 230-8193
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L220690
MI
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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