Individual
ALLEN FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
57424 MEGAN DR, WASHINGTON, MI 48094-3816
(586) 255-7471
Mailing address
57424 MEGAN DR, WASHINGTON, MI 48094-3816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007855
MI
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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