Individual
REESHEDA IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9165 ELK GROVE FLORIN RD, SUITE 155, ELK GROVE, CA 95624-5022
(916) 996-2959
Mailing address
9165 ELK GROVE FLORIN RD, SUITE 155, ELK GROVE, CA 95624-5022
(916) 996-2959
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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