Individual
MRS. DIANE VANG RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
847 W CHILDS AVE, MERCED, CA 95341-6862
(209) 383-7441
(209) 383-1643
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 385-5529
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21075
CA
Other
Enumeration date
08/02/2010
Last updated
10/21/2015
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