Individual
KELVIN SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
832 SEWARD, DETRIOT, MI 48202
(313) 579-5172
Mailing address
832 SEWARD ST, DETROIT, MI 48202-2305
(313) 579-5172
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006579
MI
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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