Individual
REBECCA E DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14659 PANU ST, KALEVA, MI 49645-9305
(231) 392-1610
Mailing address
PO BOX 495, KALEVA, MI 49645-0495
(231) 392-1610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006140
MI
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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