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Organization
RENEWED LIFE MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
RENEWED LIFE MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE WEHUNT (BILLING ADMINISTRATOR)
(530) 646-7237
Entity
Organization
Contact information
Practice address
340 HARTNELL AVE STE A, REDDING, CA 96002-1873
(530) 806-0404
(888) 633-1441
Mailing address
340 HARTNELL AVE STE A, REDDING, CA 96002-1873
(530) 806-0404
(530) 255-8747
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
09/23/2026
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