Individual
MS. TONYA RO DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3608 S BURDICK ST, KALAMAZOO, MI 49001-4838
(269) 267-4887
Mailing address
3312 WOOD ST, KALAMAZOO, MI 49008-4612
(269) 267-4887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501000408
MI
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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