Individual
DIANE JUSSILA PATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 US HIGHWAY 131 STE C, PETOSKEY, MI 49770-8891
(231) 347-7272
Mailing address
1523 US HIGHWAY 131 STE C, PETOSKEY, MI 49770-8891
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006089
MI
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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