Individual
YANICK MAXENA RENEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 W STATE ROAD 84 STE 206, DAVIE, FL 33324-4235
(954) 634-3636
(954) 634-3637
Mailing address
2756 NW 1ST CT, POMPANO BEACH, FL 33069-2501
(954) 627-2513
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022917800
—
FL
Enumeration date
01/16/2018
Last updated
01/16/2018
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