Individual
SHARLA MARIE RENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 SOUTH GRAND BLVD, ROOM 1204, SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER, ST LOUIS, MO 63104
(314) 577-5600
(314) 577-5616
Mailing address
17540 KODIAK AVE, LAKEVILLE, MN 55044-9286
(707) 637-6122
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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