Provider Demographics
NPI:1881282598
Name:REIB, LINDA JEANNE (CMF)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JEANNE
Last Name:REIB
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:JEANNE
Other - Last Name:CLEMENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4811 CHIPPENDALE DRIVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-2251
Mailing Address - Country:US
Mailing Address - Phone:916-595-1310
Mailing Address - Fax:916-344-8045
Practice Address - Street 1:4811 CHIPPENDALE DRIVE
Practice Address - Street 2:SUITE 208
Practice Address - City:ACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-2251
Practice Address - Country:US
Practice Address - Phone:916-595-1310
Practice Address - Fax:916-344-8045
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
C1458224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter