Individual
COLLEEN GRACE RENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11601 SPLIT RAIL CT, NORTH BETHESDA, MD 20852-4423
(301) 467-5443
Mailing address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0005337
MD
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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