Individual
MATTIE MARIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 GRANVILLE ST, NEWARK, OH 43055-4376
(740) 877-2280
Mailing address
345 GRANVILLE ST, NEWARK, OH 43055-4376
(740) 877-2280
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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