Individual
TEDDY CHRISTOPHER REECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 ALAMEDA BLVD, CORONADO, CA 92118-2013
(619) 435-3214
Mailing address
4615 UTAH ST APT 7, SAN DIEGO, CA 92116-3177
(619) 540-8342
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8574116
DRIVER LICENSE
CA
Enumeration date
02/25/2020
Last updated
02/25/2020
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