JEREMY DANIEL POWELL

SOUTHFIELD, MI
NPI1780308056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: MI  7501014893)
Enumeration Date2022-09-30
Last Update Date2022-09-30
Business Address
JEREMY DANIEL POWELL
23105 PROVIDENCE DR APT 316
SOUTHFIELD, MI 48075-3653
Phone number: 805-940-7153
Mailing Address
JEREMY DANIEL POWELL
23105 PROVIDENCE DR APT 316
SOUTHFIELD, MI 48075-3653
Phone number: