Individual
SYDNEE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 DIXIE DR, NEW LEBANON, OH 45345-9746
(937) 474-2311
Mailing address
1065 DIXIE DR, NEW LEBANON, OH 45345-9746
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467559179
PEDIATRIX NEWBORN HEARING SCREEN
OH
Enumeration date
08/12/2016
Last updated
08/12/2016
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