Individual
ANDREW JAMES RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(651) 424-4000
Mailing address
485 TRACEY LN # 485A, HUDSON, WI 54016-3500
(715) 338-9921
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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