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Individual

KESHIA SHERELLE REEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRMA

Contact information

Practice address
2325 ATASCOCITA RD, # C-3, C-5, HUMBLE, TX 77396-4634
(936) 257-3078
Mailing address
2325 ATASCOCITA RD, # C-3, C-5, HUMBLE, TX 77396-4634
(936) 257-3078

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
175T00000X
Peer Specialist
Primary
247200000X
Other Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129777
AMT
TX
Enumeration date
11/07/2022
Last updated
11/07/2022
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