MS. Renae Lynn St.clair, ATC

NPI #1881669547 in Richmond, Illinois

Provider Information

NPI Number: 1881669547
Entity Type: Individual
Name: MS. Renae Lynn St.clair, ATC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: ATC
Enumeration Date: Feb 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8311 N ROUTE 31
City: Richmond
State: Illinois
ZIP Code: 60071
Phone: (815) 678-7561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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