Thea Renick
Thea Renick is a Community Health Worker in Imperial, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1117 Main StImperial, MO 63052-2323
Phone: (636) 464-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1811604887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 31, 2022 |
| Last updated in NPPES | October 31, 2022 |
| Certification date | October 31, 2022 |
| Mailing address | 1117 Main St, Imperial, MO 63052-2323 |
Other providers in Imperial
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Courtney Jean Krake
1117 Main St, Imperial, MO 63052-2323 · (636) 464-1100