Individual
RICHARD DIENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 KIRKWOOD AVE, SPRINGFIELD, MI 49037-7966
(269) 274-5271
Mailing address
41 WOODBINE LN, BATTLE CREEK, MI 49015-7929
(269) 274-5271
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AS130385077
MI
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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