Individual
MRS. CLAIRE MARIE J DERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, RN
Contact information
Practice address
119 NORTH STONE ROAD, FREMONT, MI 49412
(231) 924-2590
(231) 924-6560
Mailing address
119 NORTH STONE ROAD, FREMONT, MI 49412
(231) 924-2590
(231) 924-6560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011030
MI
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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