Individual
CONSTANCE RENEE RIQUELME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 772-7892
(740) 773-1264
Mailing address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 772-7892
(740) 773-1264
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN336844
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2803194
—
OH
Enumeration date
10/03/2007
Last updated
12/19/2011
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