Individual
STEPHANIE L JANCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
39582 LEGEND CT, NORTHVILLE, MI 48167-3936
(734) 718-4165
Mailing address
39582 LEGEND CT, NORTHVILLE, MI 48167-3936
(734) 718-4165
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009404
MI
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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