Individual
MRS. STEPHANIE LYNN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, NCTMB
Contact information
Practice address
14998 CLEVELAND ST, SPRING LAKE, MI 49456-8992
(231) 730-2769
Mailing address
14998 CLEVELAND ST, SPRING LAKE, MI 49456-8992
(231) 730-2769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MI
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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