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Individual

MRS. JOAN MAYRE RENFROE

Active
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Individual

MRS. JOAN MAYRE RENFROE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN, IP, DSD

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5199749
FL
164X00000X
Licensed Vocational Nurse
Primary
708453
CA

Other

Enumeration date
10/16/2020
Last updated
10/16/2020
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