Individual
JESSE REYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROSTHETIST
Contact information
Practice address
1403 PLAZA DR, YAZOO CITY, MS 39194-2719
(662) 746-8331
(662) 673-0043
Mailing address
5526 SCOTLAND RD, BENTONIA, MS 39040-9310
(601) 941-3238
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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