Individual
BRENDA R O'ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 553-7038
Mailing address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 553-7038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704219819
MI
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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