Individual
DANA FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICD
Contact information
Practice address
148 E 14TH ST, TRAVERSE CITY, MI 49684-3221
(231) 714-7555
Mailing address
148 E 14TH ST, TRAVERSE CITY, MI 49684-3221
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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