Individual
MS. VENNA REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH PROFESSION
Contact information
Practice address
4027 PRESCOTT DR, MARTINEZ, GA 30907-4308
(706) 284-9959
(706) 955-8425
Mailing address
4027 PRESCOTT DR, MARTINEZ, GA 30907-4308
(706) 284-9959
(706) 955-8425
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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