Individual
ELIZABETH REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1233 MONTGOMERY LANE, TRACY, CA 95377
(732) 688-5150
Mailing address
1233 MONTGOMERY LANE, TRACY, CA 95377
(732) 688-5150
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95001234
CA
Other
Enumeration date
03/16/2013
Last updated
01/17/2025
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