Individual
BARBARA NANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35560 GRAND RIVER AVE, SUITE 225, FARMINGTON HILLS, MI 48335-3123
(734) 276-3424
Mailing address
514 REDWOOD CT, WIXOM, MI 48393-3992
(248) 924-7668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011257
MI
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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