Individual
NELLY RENDEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 S 12TH AVE, YAKIMA, WA 98902-3114
(509) 575-2949
Mailing address
1612 S 74TH AVE, YAKIMA, WA 98908-1972
(415) 688-1623
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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