Individual
MS. CARMEN L RANCILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3901 BEAUBIEN ST, CARLS BUILDING SURGICAL SERVICES, DETROIT, MI 48201-2119
(313) 831-3220
Mailing address
46129 CROWN CT, CHESTERFIELD, MI 48051-3239
(586) 904-0045
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704234681
MI
Other
Enumeration date
05/24/2010
Last updated
10/10/2017
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