Individual
MR. DONALD RAY RENER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 ROBERTSON ST, NEW IBERIA, LA 70560-4339
(337) 256-9790
Mailing address
417 ROBERTSON ST, NEW IBERIA, LA 70560-4339
(337) 256-9790
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
A821590
LA
Other
Enumeration date
06/07/2014
Last updated
06/07/2014
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