Individual
MISS BRENDA O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
399 E 32ND ST, STE 30, HOLLAND, MI 49423-5518
(616) 392-5600
(616) 392-2055
Mailing address
399 E 32ND ST, STE 30, HOLLAND, MI 49423-5518
(616) 392-5600
(616) 392-2055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008919
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G011280
BCBSM
MI
Enumeration date
06/20/2005
Last updated
07/20/2018
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