Individual
RENAE M VESSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 BREWSTER BLVD RM N-425, CAMP LEJEUNE, NC 28547-2575
(910) 450-4582
(910) 450-3211
Mailing address
100 BREWSTER BLVD RM N-425, CAMP LEJEUNE, NC 28547-2575
(910) 450-4582
(910) 450-3211
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
260717
NC
163WN0002X
Neonatal Intensive Care Registered Nurse
616010
CA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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