Individual
NIKOLAI REITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
931 S MARKET BLVD, CHEHALIS, WA 98532, CHEHALIS, WA 98532
(360) 767-6300
Mailing address
1113 BLU STEELE WAY, PINEVILLE, NC 28134-8638
(907) 203-9062
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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