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1114013117
RENA A GODFREY
BETHESDA, MD
NPI
1114013117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0001018)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
-- RENA A GODFREY PA-C
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814-1422
Phone number: 301-896-3054
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Mailing Address
-- RENA A GODFREY PA-C
4703 ELMHIRST LN
BETHESDA, MD 20814-3954
Phone number:
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