Individual
IVO VICTOR REYNOLDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5789 HIGHWAY 20, CHADRON, NE 69337-7349
(308) 432-4050
Mailing address
PO BOX 900, CHADRON, NE 69337-0900
(308) 432-4050
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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