Individual
AMANDA PETRUSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6081 WEST RIVER DR NE, BELMONT, MI 49306-9219
(616) 625-0386
Mailing address
6081 WEST RIVER DR NE, BELMONT, MI 49306-9219
(616) 625-0386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704276837
MI
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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