Individual
MS. RENATA STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., RRT
Contact information
Practice address
7503 RIVERSIDE PARK DR, SAN ANTONIO, TX 78249-4324
(309) 258-1194
Mailing address
3516 W MARY KNOLL CT, PEORIA, IL 61615-3727
(309) 258-1194
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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