Most Relevant Information
Provider Data
NPI Number: | 1003035809 |
Provider Name: | TINA RENO |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 04/24/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
235 CHESTNUT ST
SPRINGFIELD
MA
011031100
Practice Location Phone/Fax
Phone: | 4137344978 |
Fax: |
Provider Mailing Location
7 DENISON RD
SOMERS
CT
060712204
Provider Mailing Phone/Fax
Phone: | |
Fax: |