Individual
RENA LEE DAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 12TH ST. SW, ROANOKE, VA 24016
(540) 293-8417
Mailing address
10 12TH ST SW, ROANOKE, VA 24016-2806
(540) 293-8417
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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