Most Relevant Information
Provider Data
| NPI Number: | 1003180654 |
| Provider Name: | DONNELL CORNELIUS |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/29/2012 |
| Last Updated: | 02/29/2012 |
Provider Practice Location
1397 S LINDEN RD
STE. B
FLINT
MI
485324194
Practice Location Phone/Fax
| Phone: | 8102309750 |
| Fax: |
Provider Mailing Location
1397 S LINDEN RD
STE. B
FLINT
MI
485324194
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |