Individual
MS. ELSIE M RENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. ED.
Contact information
Practice address
1520 LEDGEDALE RD, LAKE ARIEL, PA 18436-5590
(917) 478-8417
Mailing address
PO BOX 103, LAKE ARIEL, PA 18436-0103
(917) 478-8417
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1846740
NY
Other
Enumeration date
06/05/2012
Last updated
07/25/2012
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