Individual
CLARISSA STEWART REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COF
Contact information
Practice address
41 W MAIN ST, HAMLET, NC 28345-3629
(910) 582-1776
(910) 582-2506
Mailing address
PO BOX 791, HAMLET, NC 28345-0791
(910) 582-1776
(910) 582-2506
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFOM0714
NC
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
09/13/2007
Last updated
04/16/2015
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