Individual
MARY VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1861 HIDDEN MEADOW DR, HOWELL, MI 48855-9251
(517) 304-8066
Mailing address
1861 HIDDEN MEADOW DR, HOWELL, MI 48855-9251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002918
MI
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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