Individual
SHAUNTAE REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 TOWNE DR APT 231, ELIZABETHTOWN, KY 42701-7532
(217) 520-9486
Mailing address
320 TOWNE DR APT 231, ELIZABETHTOWN, KY 42701-7532
(217) 520-9486
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
—
IL
376K00000X
Nurse's Aide
Primary
—
KY
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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