Individual
MRS. MAITE COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
29930 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3983
(248) 851-3700
(248) 851-9475
Mailing address
29930 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3983
(248) 851-3700
(248) 851-9475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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