Provider Demographics
NPI:1063883700
Name:REESE, RENEE DESHAUN
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:DESHAUN
Last Name:REESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4532 FELICIANA DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-4702
Mailing Address - Country:US
Mailing Address - Phone:337-794-0877
Mailing Address - Fax:504-282-5724
Practice Address - Street 1:4532 FELICIANA DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-4702
Practice Address - Country:US
Practice Address - Phone:337-794-0877
Practice Address - Fax:504-282-5724
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management