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NPI Profile for FONTELLA PHILLIPS REID in DEL CITY, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI # | 1891446092 |
|
| Status | Active | |
| Credentials | HOMEHEALTH, CNA | |
| Entity | Individual | |
| Enumeration date | 01/10/2022 | |
| Last updated | 01/10/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FONTELLA PHILLIPS REID, HOMEHEALTH, CNA