Individual
MR. RENATO BELOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3780 HOLCOMB BRIDGE RD, SUITE E, NORCROSS, GA 30092-4855
(770) 798-9799
Mailing address
3780 HOLCOMB BRIDGE RD, SUITE E, NORCROSS, GA 30092-4855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN250155
GA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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