Individual
EDWARD DOM RENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8216
(419) 526-8133
Mailing address
38 MARION AVE, MANSFIELD, OH 44903-7902
(419) 526-2281
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
234
OH
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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