Individual
MRS. MARY LOU RENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 GATEHOUSE CT, VACAVILLE, CA 95687-9436
(707) 253-4583
(707) 253-4734
Mailing address
101 GATEHOUSE CT, VACAVILLE, CA 95687-9436
(707) 449-3858
(707) 253-4734
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN352177
CA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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