NPI 1669017794

Renay Ann Bemiller

Practitioner Transportation Broker Wakarusa, IN

Practice location

Address: 102 Westgate Blvd, Wakarusa, IN 46573-8507
Phone: (574) 612-3757

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X Licence 8942-92-6102 (IN)

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Registry record

NPI: 1669017794
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2019
Record last updated: 13 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.