Individual
MS. CHARLENE MYERS REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1931 MIFFLIN ST, PHILADELPHIA, PA 19145-2020
(215) 463-5908
Mailing address
1931 MIFFLIN ST, PHILADELPHIA, PA 19145-2020
(215) 463-5908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN523810L
PA
163WG0000X
General Practice Registered Nurse
RN523810L
PA
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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