Individual
MARISA DUROCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12727 MERCEDES, REDFORD, MI 48239-3004
(734) 905-3335
Mailing address
12727 MERCEDES, REDFORD, MI 48239-3004
(734) 905-3335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010888
MI
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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