Individual
DR. PHAEDRA IAFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4270 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1603
(616) 364-6275
Mailing address
4270 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009057
MI
Other
Enumeration date
07/31/2007
Last updated
10/10/2007
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