Individual
REBECCA MANDRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8530 M 89, RICHLAND, MI 49083-8205
(269) 743-9984
Mailing address
9675 E D AVE, APT 1, RICHLAND, MI 49083-9348
(269) 629-9214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M036077
MI
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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