Individual
JARED REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLADC
Contact information
Practice address
8260 HIGHWAY 88, BRIDGEPORT, NE 69336-2651
(970) 260-7197
Mailing address
8260 HIGHWAY 88, BRIDGEPORT, NE 69336-2651
(970) 260-7197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P-1936
NE
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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