Individual
VIANNEY MARENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5460 GLOSTER DR APT 1A, ROANOKE, VA 24019-6078
(540) 904-5525
Mailing address
5460 GLOSTER DR APT 1A, ROANOKE, VA 24019-6078
(540) 904-5525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0001217883
VA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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