Individual
LAVONN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10054 LONGACRE ST, DETROIT, MI 48227-1089
(313) 924-2007
Mailing address
10054 LONGACRE ST, DETROIT, MI 48227-1089
(313) 924-2007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3955370
MI
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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