Individual
TAMARA L RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3925 TUDOR CENTRE DR STE 107, ANCHORAGE, AK 99508-5931
(907) 212-8544
Mailing address
3925 TUDOR CENTRE DR STE 107, ANCHORAGE, AK 99508-5931
(907) 212-8544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23364
AK
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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