Individual
DR. TIFFANY RENAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3000 WILLISTON RD, SUITE 3, SOUTH BURLINGTON, VT 05403-6082
(802) 658-6092
(802) 863-9565
Mailing address
3000 WILLISTON RD, SUITE 3, SOUTH BURLINGTON, VT 05403-6082
(802) 658-6092
(802) 863-9565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0000905
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018436
BLUE CROSS/BLUE SHIELD
VT
Enumeration date
10/24/2006
Last updated
07/31/2015
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