Individual
JACKLYN MARIE REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 VETERANS MEMORIAL PKWY BLDG 10, EAST PROVIDENCE, RI 02914-5300
(401) 438-6888
Mailing address
296 HIGHLAND AVE, WESTPORT, MA 02790-2207
(508) 496-5223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01151
RI
Other
Enumeration date
06/11/2019
Last updated
04/13/2023
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