Individual
TIM RENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 LONDON CIR N, REHOBOTH BEACH, DE 19971-1456
(302) 331-5782
Mailing address
4 LONDON CIR N, REHOBOTH BEACH, DE 19971-1456
(302) 331-5782
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MT-0003382
DE
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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