| NPI | 1912446071 |
|---|---|
| Other Name | JACEY CHA' REEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 6423) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2021-01-08 |