Individual
AMBER RENE DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
712 CASS AVE, DETROIT, MI 48226-3114
(313) 338-3222
Mailing address
530602 PEMBROOKE AVENUE, LIVONIA, MI 48153
(734) 748-4217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010122
MI
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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