Individual
AMY ELIZABETH NICOLOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2243 E 12 MILE RD, WARREN, MI 48092-5644
(586) 573-8100
Mailing address
2243 E 12 MILE RD, WARREN, MI 48092-5644
(586) 573-8100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008555
MI
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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