Individual
EBONY L REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
12976 MANDARA LN, VENICE, FL 34292-3827
(941) 932-1104
Mailing address
12976 MANDARA LN, VENICE, FL 34292-3827
(941) 932-1104
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
134901
FL
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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