BRENDA RENTERIA LOERA

TWIN FALLS, ID
NPI1851022107
Other NameBRENDA RENTERIA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2663)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-06-17
Last Update Date2023-12-05
Business Address
BRENDA RENTERIA LOERA PA
801 POLE LINE RD W STE 3880
TWIN FALLS, ID 83301-5811
Phone number: 208-814-8500
Mailing Address
BRENDA RENTERIA LOERA PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: