Individual
MARISA SANCHEZ RENZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 CARPENTER ROAD,BLDG 525, ANDREW RADER ARMY HEALTH CLINIC, FORT MYER, VA 22211-1199
(703) 696-8052
Mailing address
10725 SPRUCE ST, FAIRFAX, VA 22030-2832
(703) 591-9334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101059151
VA
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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