Individual
CARRIE TENELLE DENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
638 FULTON ST W, GRAND RAPIDS, MI 49504-6313
(616) 264-6556
Mailing address
126 WOODWIND CIR, KALAMAZOO, MI 49006-4163
(517) 896-4312
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099.0134066
VT
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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