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Andre Lately
NPI 1689941783 · on the registry since 2011
Practice
- Address
- 27003 Plymouth Rd
Redford, MI 48239 - Phone
- (313) 744-7055
- Organisation at this address
- Massage Tea Lc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Sex
- Male
- Record last updated
- 2011-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan