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Individual

TINA RENICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1310 3RD ST SW STE 3, ROANOKE, VA 24016-5219
(540) 225-2501
Mailing address
1310 3RD ST SW STE 3, ROANOKE, VA 24016-5219
(540) 225-2501
(540) 859-1310

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
824090
VA

Other

Enumeration date
12/31/2008
Last updated
11/15/2021
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