Individual
RENA HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
814 CAROLINE AVE, JUNCTION CITY, KS 66441-5210
(785) 762-5210
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43355
KS
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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