Thea Renick

NPI #1811604887 in Imperial, Missouri

Provider Information

NPI Number: 1811604887
Entity Type: Individual
Name: Thea Renick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Oct 31, 2022
Last Updated: Oct 31, 2022

Practice Location

Address: 1117 MAIN ST
City: Imperial
State: Missouri
ZIP Code: 63052-2323
Phone: (636) 464-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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