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1194077727
RENAKA ELLISON
RIVERSIDE, CA
NPI
1194077727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 218373)
Enumeration Date
2012-10-05
Last Update Date
2013-03-26
Business Address
-- RENAKA ELLISON
4736 VICTORIA AVE
RIVERSIDE, CA 92507-5660
Phone number: 951-214-8775
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Mailing Address
-- RENAKA ELLISON
PO BOX 5595
NEWPORT BEACH, CA 92662-5595
Phone number: 949-742-0111
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