Individual
LIBBY ROSE MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN ACRN
Contact information
Practice address
15600 19 MILE RD, CLINTON TWP, MI 48038-3502
(586) 703-7386
Mailing address
15600 19 MILE RD, CLINTON TWP, MI 48038-3502
(586) 703-7386
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704388851
MI
163WC1500X
Community Health Registered Nurse
91855
NE
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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