Individual
DIANA JO THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 W GRAND TRAVERSE ST, COMMERCE TWP, MI 48382-2740
(989) 858-0748
Mailing address
312 W GRAND TRAVERSE ST, COMMERCE TWP, MI 48382-2740
(989) 858-0748
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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