Individual
STACY MCNERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25775 W 10 MILE RD, SOUTHFIELD, MI 48033-4856
(248) 809-9941
Mailing address
25775 W 10 MILE RD, SOUTHFIELD, MI 48033-4856
(248) 809-9941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003032
MI
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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