Individual
THELMA I REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 BLAKLEY RD, GENOA, NY 13071
(315) 283-7405
Mailing address
3027 BLAKLEY RD, GENOA, NY 13071
(315) 283-7405
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
12/09/2019
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