Individual
MRS. JUANITA GAIL REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
3901 W 15TH ST, SURGERY, PLANO, TX 75075-7738
(972) 519-1510
Mailing address
PO BOX 85, COLBERT, OK 74733-0085
(903) 813-6235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
534486
TX
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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