Individual
WESLEY VALLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1250
(248) 330-9416
Mailing address
2480 CASS LAKE RD, KEEGO HARBOR, MI 48320-1421
(248) 330-9416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010619
MI
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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