Individual
ROSITA DEBORAH FENNEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3527 HOYT ST LOT 57, NORTON SHORES, MI 49444-3850
(616) 820-4643
Mailing address
3527 HOYT ST LOT 57, NORTON SHORES, MI 49444-3850
(616) 820-4643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014717
MI
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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