Individual
MARIA LYN RENNAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3334 DVN LN, DARBY, MT 59829-9736
(406) 375-4142
(406) 375-4143
Mailing address
3334 DVN LN, DARBY, MT 59829-9736
(406) 381-2713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
91830
MT
Other
Enumeration date
03/01/2021
Last updated
07/03/2023
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