Individual provider · NPI-1

Rene Estrella Ang Espina

Registered Nurse, Gerontology · Detroit, MI

NPI number1760108963
StatusActive
Last updated in NPPESOct 18, 2022

Details

NPI
1760108963
Entity type
Individual (NPI-1)
Name
Rene Estrella Ang Espina
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 18, 2022
Certification date
Oct 18, 2022
Last updated
Oct 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0600X Registered Nurse, Gerontology4704198651MIYes

Practice location

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-4325

Mailing address

26427 Joe Dr
Warren, MI 48091-3953

Phone 586-354-3390

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