LARISA PAVLOVNA PETROVA-POLLARD

LAURIUM, MI
NPI1720368061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence:   N/C-18/00)
Enumeration Date2011-08-18
Last Update Date2011-08-18
Business Address
Ms. LARISA PAVLOVNA PETROVA-POLLARD Massage Therapist
416 HECLA ST
LAURIUM, MI 49913-2212
Phone number: 906-337-1718
Mailing Address
Ms. LARISA PAVLOVNA PETROVA-POLLARD Massage Therapist
416 HECLA ST
LAURIUM, MI 49913-2212
Phone number: 906-337-1718