Reeves, Mallory Lorraine
Reeves, Mallory Lorraine is an individual health care provider with primary practice located at 1001 S Knik Goose Bay Rd , Wasilla AK 99654-8083. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Reeves, Mallory Lorraine can be contacted via phone (907) 631-7654.Contact Information
Primary practice address
1001 S Knik Goose Bay Rd
Wasilla AK 99654-8083
Phone: (907) 631-7654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 200121 | Alaska |
Profile Details
| NPI number | 1295451136 |
|---|---|
| LBN Legal business name | Reeves, Mallory Lorraine |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2022 |
| Last updated | Oct 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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