Provider Demographics
NPI:1376980557
Name:JOYNER, RENA NICOLE
Entity Type:Individual
Prefix:
First Name:RENA
Middle Name:NICOLE
Last Name:JOYNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 E AVENUE S
Mailing Address - Street 2:151
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-6169
Mailing Address - Country:US
Mailing Address - Phone:661-208-0343
Mailing Address - Fax:
Practice Address - Street 1:1240 E AVENUE S
Practice Address - Street 2:151
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-6169
Practice Address - Country:US
Practice Address - Phone:661-208-0343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health