Individual
MARANDA GRACE SORENSEN RENOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-7924
(928) 763-0258
Mailing address
3300 S NEEDLES HWY APT 94, LAUGHLIN, NV 89029-0163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025519
AZ
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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