Individual
MRS. SANDRA JEAN REISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
284727
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
0153672-01
MA
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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