Individual
ERICA SIOBHAN LONGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15848 CHEYENNE ST, DETROIT, MI 48227-3614
(313) 506-3482
Mailing address
24901 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2203
(844) 369-9955
(947) 282-8576
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011456
MI
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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