Individual
GENA M DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3085 MAIN ST, MARLETTE, MI 48453-1243
(989) 635-3828
(810) 387-9561
Mailing address
8731 MASON RD, LYNN, MI 48097-1012
(810) 333-5591
(810) 387-9561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001611
MI
Other
Enumeration date
03/10/2014
Last updated
09/05/2016
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