Individual
CHANEL REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(786) 803-5709
Mailing address
4820 PAT ANN TER, ORLANDO, FL 32808-4951
(786) 803-5709
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
FL9514100
FL
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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