Organization
VITLAITY CHIRORPACTIC AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH DERENZO DC (CHIROPRACTOR/CEO)
(906) 553-1106
Entity
Organization
Contact information
Practice address
21 TRIMOUNTAIN AVE, SOUTH RANGE, MI 49963
(906) 553-1106
Mailing address
PO BOX 101, 21 TRIMOUNTAIN AVE, SOUTH RANGE, MI 49963
(906) 553-1106
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2301010420
MI
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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