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Individual

JODI E RENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
424 SAVANNAH RD # O, LEWES, DE 19958-1462
(913) 238-8466
Mailing address
1400 CHICAGO AVE UNIT 3, OCEAN CITY, MD 21842-7299
(913) 238-8466

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001251457
VA

Other

Enumeration date
12/19/2018
Last updated
12/19/2018
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