Individual
THOMAS RENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10142 W CARLOTA LN, PEORIA, AZ 85383-3550
(973) 489-0546
Mailing address
10142 W CARLOTA LN, PEORIA, AZ 85383-3550
(973) 489-0546
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
AZ
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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