Individual
CLAYTON RENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 GRATIOT BLVD, MARYSVILLE, MI 48040-1145
(810) 388-1200
Mailing address
6402 DOVE RD, KIMBALL, MI 48074-2418
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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