Individual
DIANA POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6771 IOWA ST, DETROIT, MI 48212-1423
(248) 871-7716
Mailing address
6771 IOWA ST, DETROIT, MI 48212-1423
(248) 871-7716
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011965
MI
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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