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Emanuel Buggs

Massage Therapist in Roseville, MI. Individual provider (NPI-1).

NPI number1164036885
StatusActive
Last updated in NPPESSep 1, 2020

Details

NPI
1164036885
Entity type
Individual (NPI-1)
Name
Emanuel Buggs
Sex
Male
Sole proprietor
No
Enumeration date
Sep 1, 2020
Certification date
Sep 1, 2020
Last updated
Sep 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist7501010615MIYes

Practice location

30585 Sandhurst Dr Apt 205
Roseville, MI 48066-7724

Phone 313-355-3024

Mailing address

30585 Sandhurst Dr Apt 205
Roseville, MI 48066-7724

Phone 313-355-3024

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