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Individual

ANGELICA RENTERIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, PNP-PC

Contact information

Practice address
311 ALCOVY ST, MONROE, GA 30655-2139
(770) 207-7916
Mailing address
7 EXECUTIVE PARK DR NE APT 1120, ATLANTA, GA 30329-2259
(832) 339-3587

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN316689
GA

Other

Enumeration date
03/25/2025
Last updated
04/16/2025
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