MR. Benjamin Fodale, LMT

NPI #1811491681 in Davison, Michigan

Provider Information

NPI Number
1811491681
Entity Type
Individual
Name
MR. Benjamin Fodale, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 19, 2018
Last Updated
Mar 19, 2018

Practice Location

Address
3058 N STATE RD STE E
ZIP Code
48423-3508
Phone
(810) 652-6315

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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