Tashawa Reaves

NPI #1447505078 in Dearborn Heights, Michigan

Provider Information

NPI Number: 1447505078
Entity Type: Individual
Name: Tashawa Reaves
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Enumeration Date: Jul 19, 2012
Last Updated: Jul 19, 2012

Practice Location

Address: 3920 JACKSON ST
City: Dearborn Heights
State: Michigan
ZIP Code: 48125-3008
Phone: (734) 834-9676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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