Doctor Name: | MRS. RENEE TALANDA SANDIFER |
NPI Number: | 1386956555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1203 |
Business Practice Address: | 355 Crawford St Portsmouth, VA - 237042816 |
Business Phone Number: | 7575125734 |
Business Fax Number: | 7579428961 |
Mailing Address: | 1511 Basie Cres, PORTSMOUTH |
State: | VA |
Postal Code: | 237013931 |
Phone Number: | 7575125734 |
Fax Number: | 7579428961 |
NPI Enumeration Date: | 07/05/2010 |
NPI Last Update Date: | 07/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 1203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |