KELLY SUZANNE PETERSON

GRAND RAPIDS, MI
NPI1235413758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175F00000X Naturopath
(Licence: VT  009.0134076)
Additional Taxonomies175F00000X Naturopath
(Licence: AZ  11-1263)
Enumeration Date2011-10-03
Last Update Date2019-01-02
Business Address
Mrs. KELLY SUZANNE PETERSON ND
638 FULTON ST W SUITE B
GRAND RAPIDS, MI 49504
Phone number: 616-264-6556
Mailing Address
Mrs. KELLY SUZANNE PETERSON ND
638 FULTON ST W SUITE B
GRAND RAPIDS, MI 49504
Phone number: 616-264-6556