Individual
MRS. RENEE LOMAN CARROLL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
551 ACORN TRL, HORTON, MI 49246-9757
(517) 688-4984
Mailing address
551 ACORN TRL, HORTON, MI 49246-9757
(517) 688-4984
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704088134
MI
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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