Search › Arizona › 363A00000X
Ejerzain Aniles- Renova
NPI 1053873109 · on the registry since 2019 · sole proprietor
Practice
- Address
- 435 N 5th St
Phoenix, AZ 85004 - Phone
- (602) 515-5001
- Clinicians at this address
- 69
Additional practice sites
- 5777 E Mayo Blvd, Phoenix, AZ
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona