Individual
PAMELA VIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7859 5 MILE RD, NORTHVILLE, MI 48168-9451
(248) 912-2045
Mailing address
7859 5 MILE RD, NORTHVILLE, MI 48168-9451
(248) 912-2045
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004797
MI
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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