Individual
VENNA MATENA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 RAYDALE HYATTSVILLE, HYATTSVILLE, MD 20783
(202) 547-2949
Mailing address
1201 RAYDALE HYATTSVILLE, HYATTSVILLE, MD 20783
(202) 547-2949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN36354
DC
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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