Individual
LUANA REECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1189 MAPLE ST SE, CONYERS, GA 30013-1649
(808) 342-0029
Mailing address
1189 MAPLE ST SE, CONYERS, GA 30013-1649
(808) 342-0029
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
054960572
GA
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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