Provider Demographics
NPI:1275233975
Name:REID, BIANCA L'ERIN (MPH, CHES)
Entity Type:Individual
Prefix:MRS
First Name:BIANCA
Middle Name:L'ERIN
Last Name:REID
Suffix:
Gender:F
Credentials:MPH, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1391 DE LINES DR
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-3480
Mailing Address - Country:US
Mailing Address - Phone:951-261-3680
Mailing Address - Fax:
Practice Address - Street 1:1391 DE LINES DR
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-3480
Practice Address - Country:US
Practice Address - Phone:951-261-3680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula