Individual
RENEE MARIE GRINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(603) 785-1885
Mailing address
2408 LANGSTON AVE, RICHMOND, VA 23220-1415
(603) 785-1885
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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