Rena A Godfrey PA-C

NPI 1114013117 - Physician Assistant - 363A00000X

NPI Details
NPI 1114013117
Gender Female
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8600 OLD GEORGETOWN RD
BETHESDA MD, 20814-1422, US
Phone (301) 896-3054
Fax
Business Location
4703 ELMHIRST LN
BETHESDA MD, 20814-3954, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C0001018
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According to our database, Rena A Godfrey PA-C NPI is 1114013117, taxonomy code is 363A00000X and license number is C0001018, license state is located at Maryland. Rena A Godfrey PA-C physically located at 8600 Old Georgetown Rd, Bethesda MD, 20814-1422. NPI Number Rena A Godfrey PA-C has the Individual type.

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1114013117 NPI number is provided on an as is basis without warranty of any kind. 1114013117 is maintained by the National Plan & Provider Enumeration System. The contents of Rena A Godfrey PA-C are for informational purposes only.