Individual
TRACY MARX-RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17921 HUNTING BOW CIR STE 101, LUTZ, FL 33558-5379
(727) 372-7371
(727) 372-4985
Mailing address
9148 DEMARET CT, TRINITY, FL 34655-4617
(727) 277-8732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5203286
FL
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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