Individual
MS. RITA MARINNE HENLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
606 13TH ST LOT 22, THREE RIVERS, MI 49093-1258
(269) 816-0191
Mailing address
606 13TH ST LOT 22, THREE RIVERS, MI 49093-1258
(269) 816-0191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703053587
MI
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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