Individual
MRS. RENEE CARANNE HAVEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
713 W GLADSTONE ST, GLENDORA, CA 91740-5402
(626) 634-3375
Mailing address
1359 N GRAND AVE, COVINA, CA 91724-1016
(626) 430-2908
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95285585
CA
Other
Enumeration date
06/20/2023
Last updated
08/09/2023
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