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Individual

CHRISTY REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1114 S DUPONT HWY, DOVER, DE 19901-4401
(302) 442-6194
Mailing address
590 NAAMANS RD, CLAYMONT, DE 19703-2308
(833) 886-2277

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0012929
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
L2-0012929
DE
Enumeration date
04/30/2022
Last updated
04/30/2022
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