Individual
SUZANN MARIE MULLENNIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12 W WOOD ST, NEWAYGO, MI 49337-7023
(231) 519-3494
Mailing address
380 QUARTERLINE ST, NEWAYGO, MI 49337-9124
(616) 826-5114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000614
MI
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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