WAYNE THOMAS CAPULONG

EASTPOINTE, MI
NPI1851843999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704319378)
Enumeration Date2016-10-24
Last Update Date2016-10-24
Business Address
Mr. WAYNE THOMAS CAPULONG
16767 JULIANA AVE
EASTPOINTE, MI 48021-3009
Phone number: 313-618-9492
Mailing Address
Mr. WAYNE THOMAS CAPULONG
16767 JULIANA AVE
EASTPOINTE, MI 48021-3009
Phone number: 313-618-9492