Individual
MRS. SHARON LEE REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED MASTECTOMY
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0540050256
BCBS
MI
05
—
2867263
—
MI
Enumeration date
01/25/2007
Last updated
11/26/2007
Update your record
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