Individual
MISS RHIANNON MARIE DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8450 ALGOMA AVE NE STE AAA, ROCKFORD, MI 49341-7508
(616) 893-9731
(616) 893-9831
Mailing address
8450 ALGOMA AVE NE STE AAA, ROCKFORD, MI 49341-7508
(616) 893-9731
(616) 893-9831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501014896
MI
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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