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Individual

JOHN CLIFFORD RENYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
509 LAKEVIEW AVE, MILFORD, DE 19963-2917
(302) 422-3100
(302) 422-2900
Mailing address
23684 BAYVIEW DR, LEWES, DE 19958-3228
(717) 805-9410

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC003410-L
PA
111N00000X
Chiropractor
Primary
F1-0001022
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011046360003
PA
Enumeration date
08/25/2006
Last updated
09/02/2021
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