Individual
MISS BERTHA MARIE DENEMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
74123 16TH AVE, SOUTH HAVEN, MI 49090-8927
(269) 332-4837
Mailing address
PO BOX 369, SOUTH HAVEN, MI 49090-0369
(269) 332-4837
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704182023
MI
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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