CIENNA RENEE LODGE

GRAND RAPIDS, MI
NPI1811612690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704338438)
Enumeration Date2022-10-05
Last Update Date2023-01-30
Business Address
CIENNA RENEE LODGE NP
100 MICHIGAN ST NE # MC019
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-0310
Mailing Address
CIENNA RENEE LODGE NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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