Individual
MS. ALLIE RENAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S 43RD ST, PHILADELPHIA, PA 19104-4418
(215) 596-8810
Mailing address
15 KEYSTONE CT, WILMINGTON, DE 19808-4362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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