Organization
SALON HEAVENLY HANDS/HEAVENLY HANDS MASSAGE & ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASHAUNA DONISE MOORE LMT (OWNER)
(313) 995-2374
Entity
Organization
Contact information
Practice address
6727 WINTHROP ST, DETROIT, MI 48228-3767
(313) 995-2374
(313) 865-0666
Mailing address
6727 WINTHROP ST, DETROIT, MI 48228-3767
(313) 995-2374
(313) 865-0666
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7501006893
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063771244
STATE OF MICHIGAN
MI
Enumeration date
06/22/2016
Last updated
06/22/2016
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