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MR. RENATO BELOUCHE
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1912381724
Individual Registrant:MR. RENATO BELOUCHE
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3780 HOLCOMB BRIDGE RD SUITE E NORCROSS, GA 30092-4855 US
Tel: 770-798-9799 Fax: --
Tel: 770-798-9799 Fax: --
Contact information for business:
3780 HOLCOMB BRIDGE RD SUITE E NORCROSS, GA 30092-4855 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1912381724
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | GA | RN250155 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
