Individual
MRS. JENNIE MAE TROMBLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
32530 PRESCOTT ST, ROMULUS, MI 48174-9718
(734) 753-4845
Mailing address
32530 PRESCOTT ST, ROMULUS, MI 48174-9718
(734) 753-4845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397619-00
NATIONAL CERTIFICATION
MI
Enumeration date
04/11/2008
Last updated
07/10/2015
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