Individual
BARBARA JEAN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 GLEN AVE, MOUNT VERNON, NY 10550-2303
(914) 664-8831
Mailing address
53 GLEN AVE, MOUNT VERNON, NY 10550-2303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152658-1
NY
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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