Individual
MISS ALICIA FRANCES RENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
217 REECEVILLE RD STE C, COATESVILLE, PA 19320-1572
(610) 384-6076
Mailing address
405 S NEWTOWN STREET RD, NEWTOWN SQUARE, PA 19073-4411
(845) 417-7770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055477
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034580900001
—
PA
Enumeration date
05/04/2012
Last updated
04/15/2019
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