Individual
DANIELA LUISA RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6506 LOISDALE RD STE 300, SPRINGFIELD, VA 22150-1815
(703) 924-4100
Mailing address
1415 N OAK ST APT 502, ARLINGTON, VA 22209-3652
(251) 554-9430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004851
VA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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