Individual
JESSICA ROSE SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
124 S STATE RD, DAVISON, MI 48423-1347
(810) 886-1028
Mailing address
124 S STATE RD, DAVISON, MI 48423-1347
(810) 886-1028
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005401
MI
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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