Individual
DEANGELA REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 BELLEVIEW ST APT 334, DALLAS, TX 75215-2241
(817) 908-7404
Mailing address
1414 BELLEVIEW ST APT 334, DALLAS, TX 75215-2241
(817) 908-7404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-4598265
—
TX
Enumeration date
05/01/2019
Last updated
05/01/2019
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