Individual
EMILIE ALEXIA RENAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 MELODY LN, RIVERSIDE, CA 92504-2920
(951) 643-9408
Mailing address
3815 MELODY LN, RIVERSIDE, CA 92504-2920
(951) 643-9408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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