Organization
RENEW 4 LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA RINAS (OWNER/OPERATOR)
(208) 520-1690
Entity
Organization
Contact information
Practice address
240 S 5TH W STE E, RIGBY, ID 83442-1476
(208) 745-0467
(208) 745-0409
Mailing address
240 S 5TH W STE E, RIGBY, ID 83442-1476
(208) 745-0467
(208) 745-0409
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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