Individual
RAXAN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 DESERT ROSE WAY, MARTINSBURG, WV 25404-3752
(540) 409-7520
Mailing address
65 DESERT ROSE WAY, MARTINSBURG, WV 25404-3752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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