Individual
JULIA YVONNE RENTFROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 FIR ST, GATE CITY, VA 24251-2761
(276) 690-5896
Mailing address
330 FIR ST, GATE CITY, VA 24251-2761
(276) 690-5896
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T65013335
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5896
—
VA
Enumeration date
01/07/2019
Last updated
01/07/2019
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