Individual
RENEE CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 COFFEE RD STE A, MODESTO, CA 95355-1766
(209) 522-0001
Mailing address
15190 N LOCUST TREE RD, LODI, CA 95240-9349
(209) 747-7182
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95032832
CA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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