Individual
MRS. BRENDA RENEA REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 SONNYS CV, RIPLEY, TN 38063-3926
(731) 635-8701
(731) 635-8701
Mailing address
219 SONNY'S COVE, RIPLEY, TN 38063-3926
(901) 635-8701
(901) 635-8701
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
0007390
TN
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
06/09/2010
Last updated
06/07/2019
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