Individual
MR. ABDUL JOHAUN HASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5 LYON ST NW APT 104, GRAND RAPIDS, MI 49503-3109
(616) 375-9615
Mailing address
5 LYON ST NW APT 104, GRAND RAPIDS, MI 49503-3109
(616) 375-9615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014350
MI
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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