Individual
KIMBERLY ANGELA BURBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
56711 GRAND RIVER AVE, NEW HUDSON, MI 48165-8524
(248) 667-9904
Mailing address
224 OAKBROOKE DR UNIT 8, SOUTH LYON, MI 48178-1836
(743) 776-7683
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008662
MI
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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