Individual
MRS. KATHLEEN ANNE DEROSA BELMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1801 BRETON ROAD, SUITE A, GRAND RAPIDS, MI 49506
(616) 957-9100
(616) 957-9111
Mailing address
1801 BRETON ROAD, SUITE A, GRAND RAPIDS, MI 49506
(616) 957-9100
(616) 957-9111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009268
MI
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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