Provider Demographics
NPI:1851714182
Name:REID, VANIETY CHERELLE (HAIR PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:VANIETY
Middle Name:CHERELLE
Last Name:REID
Suffix:
Gender:F
Credentials:HAIR PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6321 JAMES ROUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9676
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5160 EAST MAIN ST
Practice Address - Street 2:LOFT 26
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213
Practice Address - Country:US
Practice Address - Phone:330-941-0493
Practice Address - Fax:614-298-4025
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management