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Individual

MYA SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
38099 SCHOOLCRAFT RD STE 133, LIVONIA, MI 48150-1029
(313) 424-3216
Mailing address
38099 SCHOOLCRAFT RD STE 133, LIVONIA, MI 48150-1029
(313) 424-3216

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
57499
MI
101YP1600X
Pastoral Counselor
MI
133N00000X
Nutritionist
1424568
MI
133N00000X
Nutritionist
MI
173C00000X
Reflexologist
UCJFQNS5FD
MI
173C00000X
Reflexologist
Primary
174400000X
Specialist
1424567
MI
174400000X
Specialist

Other

Enumeration date
02/08/2021
Last updated
02/08/2021
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