Individual
MRS. VENODIA REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR.
Contact information
Practice address
2409 N 36TH ST, MILWAUKEE, WI 53210-3040
(414) 875-8892
Mailing address
9321 N 85TH ST, MILWAUKEE, WI 53224-1310
(414) 354-7094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
206-026
WI
172V00000X
Community Health Worker
206-026
WI
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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