Individual
DESHA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
83 SHEPARD AVE, TEANECK, NJ 07666-6119
(347) 650-1591
Mailing address
83 SHEPARD AVE, TEANECK, NJ 07666-6119
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
704198
NY
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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