Individual
JNAI L PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17320 LIVERNOIS AVE, DETROIT, MI 48221-2759
(313) 574-3784
Mailing address
18037 TEPPERT ST, DETROIT, MI 48234-3858
(313) 574-3784
(844) 579-0088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006161
MI
Other
Enumeration date
11/30/2018
Last updated
10/09/2024
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