Individual
MRS. SARAH LEE DERENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
21 TRIMOUNTAIN AVE, SOUTH RANGE, MI 49963-0101
(906) 553-1106
Mailing address
21 TRIMOUNTAIN AVE, PO BOX 101, SOUTH RANGE, MI 49963-0101
(906) 553-1106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010420
MI
Other
Enumeration date
04/14/2016
Last updated
06/06/2016
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