Individual
MRS. RENITA MICHELLE SHOFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1434 PORTER ST, FORT DETRICK, MD 21702-9210
(301) 619-1941
Mailing address
17605 SLATE WAY, HAGERSTOWN, MD 21740-6387
(301) 714-2380
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN106907
GA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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