Individual
CARLA HAMMAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 RAVEN PKWY, MONROE, MI 48161-3716
(734) 344-7577
(734) 777-7578
Mailing address
5325 RAVEN PKWY, MONROE, MI 48161-3716
(734) 344-7577
(734) 777-7578
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75010045316
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501004316
LIC
MI
Enumeration date
11/14/2016
Last updated
11/14/2016
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