Individual
SHELBY LYNN VON RENTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4370 114TH ST, URBANDALE, IA 50322-5408
(515) 219-7999
Mailing address
4370 114TH ST, URBANDALE, IA 50322-5408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-357642
IA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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