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Organization
WISHING WELL, INC.
Active
Organization
WISHING WELL, INC.
Active
Parent organization
WISHING WELL, INC.
Other names
Detox For Healthy Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISHING WELL, INC.
Authorized official
MRS. MARILYN V. HEERINGA (HEALTH SERVICE PROVIDER)
(616) 363-9113
Entity
Organization
Contact information
Practice address
1721 RODNEY CR. N.E., GRAND RAPIDS, MI 49505
(616) 363-9113
Mailing address
1721 RODNEY CR. N.E., GRAND RAPIDS, MI 49505
(616) 363-9113
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
NULL
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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