Individual
ATHENA ELAINE REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
THE 800 J STREET, UNIT 528, SACRAMENTO, CA 95814-2521
(916) 617-0039
Mailing address
THE 800 J STREET, UNIT 528, SACRAMENTO, CA 95814-2521
(916) 617-0039
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C4162836
CA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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