FRED H. RENCO

MOUNT VERNON, WA
NPI1922062090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10003130)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: WA  PA00003130)
Enumeration Date2006-04-14
Last Update Date2015-06-17
Business Address
-- FRED H. RENCO PA-C
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2586
Mailing Address
-- FRED H. RENCO PA-C
1400 E. KINCAID STREET ATTN: CREDENTIALING
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2500