Individual
COLLEEN DEE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 DIVISION STREET, NOME, AK 99762
(907) 443-3344
Mailing address
607 DIVISION STREET, NOME, AK 99762
(907) 443-3344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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