Individual
CAROL MARIE RENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
780 PILOT HOUSE DR STE 100A, NEWPORT NEWS, VA 23606-4411
(757) 592-9102
Mailing address
780 PILOT HOUSE DR STE 100A, NEWPORT NEWS, VA 23606-4411
(757) 592-9102
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
001900966
VA
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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