Individual
LEAH RENWANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1407 N ELM ST, JEFFERSON, IA 50129-1012
(515) 370-3035
Mailing address
613 S CEDAR ST, JEFFERSON, IA 50129-2513
(515) 370-3035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
088190
IA
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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