Individual
KASSI BROOKE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1343 CLIFTON ST NW, APT 204, WASHINGTON, DC 20009-7033
(202) 817-7470
Mailing address
1343 CLIFTON ST NW, APT 204, WASHINGTON, DC 20009-7033
(202) 817-7470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1035034
DC
163W00000X
Registered Nurse
RN52511
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1035034
DC BOARD OF NURSING
DC
01
—
RN52511
MAINE BOARD OF NURSING
ME
Enumeration date
03/09/2017
Last updated
03/09/2017
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