Individual
ALEXANDRA RENESIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28600 GRAYS SHOP RD, NEWSOMS, VA 23874-2904
(757) 654-6461
Mailing address
28600 GRAYS SHOP RD, NEWSOMS, VA 23874-2904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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