Individual
MRS. JESSICA ANN RENNAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 473-7259
Mailing address
13604 E 4TH AVE, SPOKANE VALLEY, WA 99216-0601
(509) 368-9651
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN00162965
WA
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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