Individual
MRS. KATHLEEN MARY REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2832 E VERMONT AVE, FRESNO, CA 93720-5327
(559) 970-0677
Mailing address
PO BOX 1616, CLOVIS, CA 93613-1616
(559) 970-0677
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
439156
CA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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