Individual
MS. THERESA DEBELAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5062 E S AVE, VICKSBURG, MI 49097-8473
(269) 366-5675
Mailing address
3244 S WESTNEDGE AVE, KALAMAZOO, MI 49008-2903
(269) 366-5675
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
7501001576
MI
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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