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TAMMY04101971 RENAE GARNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
176 DAGGER LN, WYTHEVILLE, VA 24382-6068
(276) 620-6432
(276) 383-8021
Mailing address
176 DAGGER LN, WYTHEVILLE, VA 24382-6068
(276) 620-6432
(276) 383-8021

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747P1801X
Personal Care Attendant
Primary
VA
385H00000X
Respite Care

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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