Individual
BOBBIE MIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4217 MAES DR, PORT HURON, MI 48060-7718
(810) 650-8688
Mailing address
4217 MAES DR, PORT HURON, MI 48060-7718
(810) 650-8688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003200
MI
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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