Individual
MR. JASON PETTET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.O.M.
Contact information
Practice address
500 WEST 17TH ST., HOLLAND, MI 49423
(269) 655-4885
Mailing address
7064 111TH AVE., SOUTH HAVEN, MI 49090
(269) 655-4885
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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