Individual
RICHARD NIKOLAUS RENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9490 W FAIRVIEW AVE, BOISE, ID 83704-8101
(757) 469-0586
Mailing address
4502 W ALBION ST, BOISE, ID 83705-1326
(757) 469-0586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2271757
ID
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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