Individual
RENEE HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
10901 GOLD CENTER DR STE 400, RANCHO CORDOVA, CA 95670-6073
(916) 322-4336
Mailing address
23778 CORK OAK CIR, MURRIETA, CA 92562-2070
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E136242
CA
146N00000X
Basic Emergency Medical Technician
Primary
E3367355
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E136242
STATE OF CALIFORNIA
CA
01
—
E3367355
NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS
—
Enumeration date
09/13/2020
Last updated
09/13/2020
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