Individual
RENA A GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-3054
Mailing address
4703 ELMHIRST LN, BETHESDA, MD 20814-3954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001018
MD
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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