MANDY KAY RENAK

CALDWELL, ID
NPI1205241650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP1439A)
Enumeration Date2014-06-24
Last Update Date2014-06-24
Business Address
-- MANDY KAY RENAK FNP-C
13307 MIAMI LN
CALDWELL, ID 83607-4701
Phone number: 208-455-5345
Mailing Address
-- MANDY KAY RENAK FNP-C
13307 MIAMI LN
CALDWELL, ID 83607-4701
Phone number: 208-455-5345