Individual
TINA ANNE REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1346 DAISY LN, GRANTS PASS, OR 97527-5501
(541) 761-0079
Mailing address
1346 DAISY LN, GRANTS PASS, OR 97527-5501
(541) 761-0079
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OR
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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