Individual
GRACE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 44TH ST SE, SUITE 205, KENTWOOD, MI 49512-9081
(616) 438-1204
Mailing address
2450 44TH ST SE, SUITE 205, KENTWOOD, MI 49512-9081
(616) 438-1204
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001828
MI
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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