Individual
MRS. LAUREL JEAN PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
17202 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 402-6342
(616) 296-2243
Mailing address
17202 VANWAGONER RD., SPRING LAKE, MI 49456
(616) 402-6342
(616) 296-2243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001715
MI
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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