Samuel Derossett

NPI #1295414126 in New Haven, Michigan

Provider Information

NPI Number
1295414126
Entity Type
Individual
Name
Samuel Derossett
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Jul 17, 2023
Last Updated
Jul 17, 2023

Practice Location

Address
37681 SANDSTONE TRL
ZIP Code
48048-3729
Phone
(618) 319-0945

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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