Blake Bonner

NPI #1871336180 in Lapeer, Michigan

Provider Information

NPI Number
1871336180
Entity Type
Individual
Name
Blake Bonner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Enumeration Date
Jun 14, 2024
Last Updated
Jun 14, 2024

Practice Location

Address
204 E NEPESSING ST
City
Lapeer
ZIP Code
48446-2316
Phone
(810) 356-4646

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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