Individual
MRS. SELENTHIA REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 S MAIN ST, SUITE D, BELEN, NM 87002-3555
(505) 864-5927
(505) 861-5904
Mailing address
PO BOX 1434, BELEN, NM 87002-1434
(505) 864-5927
(505) 861-5904
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NM
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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