Renew 4 Life, LLC

NPI #1326356759 in Rigby, Idaho

Provider Information

NPI Number
1326356759
Entity Type
Organization
Organization Name
Renew 4 Life, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Sep 20, 2010
Last Updated
Sep 20, 2010

Practice Location

Address
240 S 5TH W STE E
City
Rigby
State
Idaho
ZIP Code
83442-1476
Phone
(208) 745-0467

Authorized Official

Name
MRS. CHRISTINA RINAS
Title
OWNER/OPERATOR
Phone
(208) 520-1690

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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