Individual
EBONY BRASCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7075 GRATIOT RD STE 2, SAGINAW, MI 48609-6904
(989) 781-7700
Mailing address
7075 GRATIOT RD STE 2, SAGINAW, MI 48609-6904
(989) 781-7700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009310
MI
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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