Provider Demographics
NPI:1629528039
Name:REESE, DEMEIIA (CAMS-I)
Entity Type:Individual
Prefix:
First Name:DEMEIIA
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:CAMS-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 E OVINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-3201
Mailing Address - Country:US
Mailing Address - Phone:323-286-5585
Mailing Address - Fax:
Practice Address - Street 1:639 E OVINGTON ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-3201
Practice Address - Country:US
Practice Address - Phone:323-286-5585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist
No172V00000XOther Service ProvidersCommunity Health Worker