Individual
JAMANIC JABRE REAVES
Active
Individual
JAMANIC JABRE REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251J00000X
NURSING
GA
Enumeration date
09/29/2020
Last updated
12/26/2020
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