Individual
GENAI RENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 576-8181
(707) 565-5183
Mailing address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 576-8181
(707) 565-5183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95411666
CA
164X00000X
Licensed Vocational Nurse
VN282037
CA
Other
Enumeration date
03/10/2017
Last updated
05/08/2026
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