Individual
CONNIE LAVONNE REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
216 ABEL DR, GLENN HEIGHTS, TX 75154-3862
(469) 323-0560
Mailing address
216 ABEL DR, GLENN HEIGHTS, TX 75154-3862
(469) 323-0560
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
TX
224P00000X
Prosthetist
—
TX
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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