Individual
MS. DENIECE RENTERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
7888 FARGO PL, HANFORD, CA 93230-9426
(559) 585-1027
Mailing address
7888 FARGO PL, HANFORD, CA 93230-9426
(559) 585-1027
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS016240
—
CA
05
—
RVN004390
—
CA
Enumeration date
02/13/2007
Last updated
07/09/2007
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