CLARISSA STEWART REYNOLDS

HAMLET, NC
NPI1073708830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224900000X Mastectomy Fitter
(Licence: NC  CFom0714)
Additional Taxonomies225000000X Orthotic Fitter
Enumeration Date2007-09-13
Last Update Date2015-04-16
Business Address
-- CLARISSA STEWART REYNOLDS COF
41 W MAIN ST
HAMLET, NC 28345-3629
Phone number: 910-582-1776
Mailing Address
-- CLARISSA STEWART REYNOLDS COF
PO BOX 791
HAMLET, NC 28345-0791
Phone number: 910-582-1776