Individual
MR. RENE NANQUIL TENERIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN RN
Contact information
Practice address
136 N 1ST ST, HARBOR BEACH, MI 48441-1101
(989) 479-3101
(989) 479-3529
Mailing address
136 N 1ST ST, HARBOR BEACH, MI 48441-1101
(989) 479-3101
(989) 479-3529
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704206460
MI
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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