Individual
PORTER C RENNIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
975 SERENO DR, SLEEP CLINIC, VALLEJO, CA 94589
(707) 651-2320
Mailing address
975 SERENO DR, SLEEP CLINIC, VALLEJO, CA 94589
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
21101
CA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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