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MR. RUSSEL RAYMOND PELOQUIN RN
Home Health >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1306906656
Individual Registrant:MR. RUSSEL RAYMOND PELOQUIN RN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
17 MULLER RD WATERLOO, WI 53594-9515 US
Tel: 920-623-0516 Fax: --
Tel: 920-623-0516 Fax: --
Contact information for business:
17 MULLER RD WATERLOO, WI 53594-9515 US
Tel: 920-623-0516 Fax: --
Tel: 920-623-0516 Fax: --
Registration Information:
NPI: 1306906656
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WH0200X | Nursing Service Providers Registered Nurse Home Health | WI |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
