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MRS. RENEE LYNN VANDEN AVOND

>> Home Health Aide >> Nursing Service Related Providers

Registrant NPI Number: 1568126464

Individual Registrant:
MRS. RENEE LYNN VANDEN AVOND 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
525 ROBERT ST S  PIERZ, MN 56364-7158 US
Tel: 218-838-8408  Fax: --

Contact information for business:
525 ROBERT ST S  PIERZ, MN 56364-7158 US
Tel: 218-838-8408  Fax: --

Registration Information:
NPI: 1568126464
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N374U00000XNursing Service Related Providers
Home Health Aide
MN256577
Y374U00000XNursing Service Related Providers
Home Health Aide
MN1110841

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
VENDOR NUMBER256577MN01
AFC LICENSE1110841MN01
BACKGROUND STUDY1111492MN01




HEALTH CARE JOBS MN - Page 1



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