Individual
MRS. MEREDITH MELISSA SOPHABMISAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1700 DOROTHYS WAY, HARTLAND, MI 48353
(248) 505-8561
Mailing address
1700 DOROTHYS WAY, HARTLAND, MI 48353
(248) 505-8561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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