Individual
EBONI CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8881 DALE, REDFORD, MI 48239-1201
(313) 671-0825
Mailing address
8881 DALE, REDFORD, MI 48239-1201
(313) 671-0825
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MI
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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