Individual
MS. DEBORAH JOY WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3401 WEST DR, NONE, CLYDE, MI 48049-4547
(810) 772-4255
Mailing address
3401 WEST DR, NONE, CLYDE, MI 48049-4547
(810) 772-4255
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703090166
MI
225700000X
Massage Therapist
Primary
7501003013
MI
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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