Individual
ANDRA RENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 VICTOR ST, PROVIDENCE, RI 02908-3200
(401) 415-8842
Mailing address
PO BOX 603435, PROVIDENCE, RI 02906-0835
(401) 572-6900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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