Donnell Cornelius
Massage Therapist in Flint, MI. Individual provider (NPI-1).
NPI number1003180654
StatusActive
Last updated in NPPESFeb 29, 2012
Details
- NPI
- 1003180654
- Entity type
- Individual (NPI-1)
- Name
- Donnell Cornelius
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2012
- Last updated
- Feb 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | MI | Yes |
Practice location
1397 S Linden RdSte. B
Flint, MI 48532-4194
Phone 810-230-9750
Mailing address
1397 S Linden RdSte. B
Flint, MI 48532-4194
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