Individual
BROOKE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 KLUMAC RD STE 9, SALISBURY, NC 28144-6752
(704) 630-0370
(700) 463-0078
Mailing address
512 KLUMAC RD STE 9, SALISBURY, NC 28144-6752
(704) 630-0370
(700) 463-0078
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC2487
NC
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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