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Individual

MARCIA A REGALADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11208 KENNEBEC AVE, ALLEN PARK, MI 48101-1008
(586) 416-0845
Mailing address
11208 KENNEBEC AVE, ALLEN PARK, MI 48101-1008
(586) 416-0845

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704268978
MI
163WH1000X
Hospice Registered Nurse
4704268978
MI

Other

Enumeration date
06/07/2019
Last updated
06/07/2019
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