Organization
VERDUROUS ME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESA HANSKNECHT (WELLNESS SPECIALIST)
(248) 229-4016
Entity
Organization
Contact information
Practice address
49881 GRAND RIVER AVE, WIXOM, MI 48393-3309
(248) 229-4016
Mailing address
49881 GRAND RIVER AVE, WIXOM, MI 48393-3309
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008527
MI
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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