Individual
TIMISHA MAHOGANY RENEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36509 W PADILLA ST, MARICOPA, AZ 85138-2099
(702) 612-2894
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9218197
HCTC THERAPEUTIC FOSTER CARE
AZ
Enumeration date
04/30/2018
Last updated
04/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us