Ricketa Reno, | |
17600 George Washington Dr, Southfield, MI 48075-2771 | |
(313) 610-0179 | |
Not Available |
Full Name | Ricketa Reno |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 17600 George Washington Dr, Southfield, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184081846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703116083 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ricketa Reno, 17600 George Washington Dr, Southfield, MI 48075-2771 Ph: (313) 610-0179 | Ricketa Reno, 17600 George Washington Dr, Southfield, MI 48075-2771 Ph: (313) 610-0179 |
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Crystal Young-rowe, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 19800 Saxton Ave, Southfield, MI 48075 Phone: 313-595-2948 | |
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Amicah Desiray Tolbert, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 17608 Gateway Cir, Southfield, MI 48075 Phone: 248-238-9195 | |
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