Individual
MRS. NICOLE RENEE MOBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
5060 CASCADE RD SE, GRAND RAPIDS, MI 49546-3808
(616) 610-1097
(616) 940-4594
Mailing address
10998 JORDAN CT, ALLENDALE, MI 49401-7303
(616) 892-1155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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