Individual
LENNY MARITZA RENGIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9375 SW COMMERCE CIR, WILSONVILLE, OR 97070-9694
(503) 582-9200
Mailing address
9375 SW COMMERCE CIR, WILSONVILLE, OR 97070-9694
(503) 582-9200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC219081
OR
225700000X
Massage Therapist
MA75770
FL
Other
Enumeration date
09/07/2020
Last updated
10/15/2024
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