| NPI | 1831330935 |
|---|---|
| Doing Business As | DETOX FOR HEALTHY LIVING |
| Entity Type | Organization |
| Authorized Contact | MARILYN V. HEERINGA Health Service Provider 616-363-9113 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |