Organization
JR RENAISSANCE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN J. SOTO RN (OFFICE MANAGER)
(928) 234-3834
Entity
Organization
Contact information
Practice address
1957 HWAY 95 STE 23, BULLHEAD CITY, AZ 86442-6744
(928) 234-3834
(602) 792-7270
Mailing address
PO BOX 90182, HENDERSON, NV 89009-0182
(928) 234-3834
(602) 792-7270
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2022
Last updated
02/19/2022
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