LESLIE A DETIENNE

PORTAGE, IN
NPI1760640759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
Enumeration Date2008-05-28
Last Update Date2008-05-28
Business Address
-- LESLIE A DETIENNE
5934 US HIGHWAY 6
PORTAGE, IN 46368-4946
Phone number: 219-762-7136
Mailing Address
-- LESLIE A DETIENNE
577 SIENNA AVE
PORTAGE, IN 46368-2560
Phone number: 219-840-0572