NPI 1073001566
Timisha Mahogany Reneau
Practice location
- Address
- 36509 W Padilla St, Maricopa, AZ 85138-2099
- Phone
- (702) 612-2894
- Mailing address
- 994 S Harrison Rd, Tucson, AZ 85748-6608
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1073001566
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Apr 2018
- Record last updated
- 30 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.