Individual
JOHN MICHAEL REAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
1001 W GOLD ST, BUTTE, MT 59701-2215
(406) 565-0249
Mailing address
1001 W GOLD ST, BUTTE, MT 59701-2215
(406) 565-0249
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
361838
MT
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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