Individual
MRS. SHELLEY ANNE RENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30277 AVENUE 12 RM R6B, MADERA, CA 93638-8321
(559) 675-4814
Mailing address
30277 AVENUE 12 RM R6B, MADERA, CA 93638-8321
(559) 675-4814
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
374652
CA
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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