Individual
RENEE A CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
751 UKROPS DR, WILLAIMSBURG, VA 23185
(757) 221-3347
(757) 221-3412
Mailing address
PO BOX 399, WILLIAMSBURG, VA 23187-0399
(757) 221-3347
(757) 221-3412
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0126000453
VA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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