Individual
MS. MARLENE J PETERSON-DECIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMT
Contact information
Practice address
1515 NILES AVE, SAINT JOSEPH, MI 49085-1585
(269) 983-6541
(269) 585-6449
Mailing address
PO BOX 451, SAINT JOSEPH, MI 49085-0451
(269) 983-4327
(269) 585-6449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/05/2007
Last updated
04/13/2009
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