Individual
RENEE GENEVIEVE MONAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-8000
Mailing address
2575 YORBA LINDA BLVD, FULLERTON, CA 92831-1615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07850
MD
Other
Enumeration date
10/14/2019
Last updated
02/04/2021
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