Individual
DONNA RENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 PAWTUCKET AVE, PAWTUCKET, RI 02860-3811
(401) 724-8400
(401) 722-5280
Mailing address
166 PAWTUCKET AVE, PAWTUCKET, RI 02860-3811
(401) 724-8400
(401) 722-5280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDP00503
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
05/21/2014
Last updated
02/27/2020
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