Individual
ETHEL MAE REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1508 3RD AVE EAST, BIG STONE GAP, VA 24219
(276) 523-0599
(276) 523-6492
Mailing address
1508 3RD AVE EAST, PO BOX 888, BIG STONE GAP, VA 24219
(276) 523-0599
(276) 523-6492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001124033
VA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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