Individual
STEPHANIE REDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 SHREVEPORT AVE, PORT ARTHUR, TX 77640-5320
(414) 315-2039
Mailing address
14703 PARK ROW, HOUSTON, TX 77079-1039
(414) 315-2039
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
215022
WI
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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