| Ms Holly Lodge, MT | |
|
3413 Edgewood St, Dearborn, MI 48124-4167 | |
| (313) 930-9139 | |
| Not Available |
| Full Name | Ms Holly Lodge |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 3413 Edgewood St, Dearborn, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962670281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Holly Lodge, MT 3413 Edgewood St, Dearborn, MI 48124-4167 Ph: (313) 930-9139 | Ms Holly Lodge, MT 3413 Edgewood St, Dearborn, MI 48124-4167 Ph: (313) 930-9139 |
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