Individual
MRS. MELISSA JEAN RENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1900 OTOE ST, LINCOLN, NE 68502-4640
(402) 328-2794
Mailing address
1900 OTOE ST, LINCOLN, NE 68502-4640
(402) 328-2794
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1358
NE
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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