Individual
MRS. SHENAE RENEE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9330 59TH AVENUE SOUTHWEST, LAKEWOOD, WA 98499
(210) 937-2806
Mailing address
9330 59TH AVENUE SOUTHWEST, LAKEWOOD, WA 98499
(210) 937-2806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60212783
WA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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