JOSE LUIS RENTERIA

GREAT BEND, KS
NPI1053704361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: KS  53-76710-092)
Enumeration Date2015-03-11
Last Update Date2015-03-16
Business Address
-- JOSE LUIS RENTERIA ACNP
1905 19TH ST
GREAT BEND, KS 67530-2502
Phone number: 620-792-5700
Mailing Address
-- JOSE LUIS RENTERIA ACNP
1718 ODELL ST
GREAT BEND, KS 67530-2419
Phone number: 620-786-8783
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