Individual
DR. RENZ JARRETT JUANEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD., RUSSELL MORGAN BUILDING - SUITE 406, BALTIMORE, MD 21239
(443) 444-4185
Mailing address
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BUILDING - SUITE 406, BALTIMORE, MD 21239-2945
(443) 444-4185
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
D0081107
MD
Other
Enumeration date
09/11/2011
Last updated
07/28/2016
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