Individual
TIA RENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5855 E STILL CIR, MESA, AZ 85206-3631
(480) 248-8100
Mailing address
4848 N GOLDWATER BLVD # G-2113, SCOTTSDALE, AZ 85251-1433
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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