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Individual

DR. JEANIE L TRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7700 E PARHAM ROAD, RICHMOND, VA 23294-4301
(804) 747-5770
(804) 747-5746
Mailing address
PO BOX 247, MIDLOTHIAN, VA 23113
(804) 747-5770
(804) 747-5746

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101042195
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
284900
ANTHEM
VA
05
5832772
VA
Enumeration date
08/16/2006
Last updated
05/16/2016
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