Individual
MR. BERNARD MENDOZA MARQUILLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
31503 DAY LILY DR, BROWNSTOWN, MI 48173-8772
(586) 822-9930
Mailing address
31503 DAY LILY DR, BROWNSTOWN, MI 48173-8772
(586) 822-9930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704229067
MI
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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