Individual
CYBELE ANNE RENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Mailing address
GRANT BUILDING S-169, STANFORD, CA 94305-5107
(650) 573-2222
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A86690
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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