Individual
JANIS LEE GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32121 OLD FORT, ROCKWOOD, MI 48173
(734) 379-6037
(734) 379-2371
Mailing address
32121 OLD FORT, ROCKWOOD, MI 48173
(734) 379-6037
(734) 379-2371
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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