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Individual

AN LAP LY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
33162 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5915
(586) 977-0202
(586) 977-6688
Mailing address
33162 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5915
(586) 977-0202
(586) 977-6688

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
D5476V
MI
174400000X
Specialist
Primary
D5476V
MI
175L00000X
Homeopath
D5476V
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
593764-10
NATIONAL CERTIFICATION BOARD FOR THERAPUETIC MASSAGE & BODYWORK (NCBTMB)
MI
01
966552
ASSOCIATED BODYWORK & MASSAGE PROFESSIONAL (ABMP)
MI
Enumeration date
02/21/2012
Last updated
02/21/2012
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