Individual
ELIN RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2123 GLENCOE HILLS DR APT 10, ANN ARBOR, MI 48108-1086
(734) 255-6897
Mailing address
2123 GLENCOE HILLS DR APT 10, ANN ARBOR, MI 48108-1086
(734) 255-6897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704288620
MI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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