Individual
RENITHA RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, 800394, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5306
(434) 982-1064
Mailing address
1215 LEE ST, 800394, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5306
(434) 982-1064
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116028744
VA
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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