Individual
TEHESHA L REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17249 SHADOAN WAY, WESTFIELD, IN 46074-8809
(317) 490-2629
Mailing address
17249 SHADOAN WAY, WESTFIELD, IN 46074-8809
(317) 490-2629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27073761A
IN
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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