Individual
MRS. JOYCE SHATARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22312 GARRISON ST, DEARBORN, MI 48124-2228
(313) 492-6161
Mailing address
18508 WHITBY ST, LIVONIA, MI 48152-3040
(313) 492-6161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000620
MI
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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