Individual
RENEE VIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 E BEECHER ST, ADRIAN, MI 49221-3506
(517) 265-3900
Mailing address
2727 E BEECHER ST, ADRIAN, MI 49221-3506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704254270
MI
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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