Individual
RENEE CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(503) 991-8070
Mailing address
2512 STARLIGHT CT, CHEYENNE, WY 82009-9746
(503) 991-8070
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
917
WYOMING STATE BOARD FOR RESPIRATORY CARE
WY
Enumeration date
12/17/2018
Last updated
12/17/2018
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