Individual
KELLI PRENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 BRADFIELD ST, BAY CITY, MI 48706-4029
(989) 464-5778
Mailing address
1103 BRADFIELD ST, BAY CITY, MI 48706-4029
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704181769
MI
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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