Individual
MRS. RAENELLE LYNN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
316 RAILROAD AVE, GOLDSBORO, MD 21636-1126
(410) 634-2380
(410) 482-7488
Mailing address
22968 TUCKAHOE SPRINGS DR, DENTON, MD 21629-1615
(757) 284-9982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003659
MD
Other
Enumeration date
09/28/2007
Last updated
03/24/2014
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