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Individual

RENEE C BOVELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12200 ANNAPOLIS RD, SUITE 116, GLENN DALE, MD 20769-9182
(301) 805-4664
(301) 805-4663
Mailing address
12200 ANNAPOLIS RD STE 116, GLENN DALE, MD 20769-9182
(301) 805-4664
(301) 805-4663

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0056686
MD
207WX0120X
Cornea and External Diseases Specialist Physician
MD32558
DC

Other

Enumeration date
11/30/2006
Last updated
06/29/2023
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