Individual
RODEL ENCABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
28123 CUNNINGHAM DR, WARREN, MI 48092-3465
(586) 915-2948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704262859
MI
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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