Provider Demographics
NPI:1154178341
Name:REEVES, SHEENA
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:
Last Name:REEVES
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 1:4413 INEZ CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-8301
Mailing Address - Country:US
Mailing Address - Phone:984-303-7614
Mailing Address - Fax:919-307-8707
Practice Address - Street 1:4413 INEZ CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-8301
Practice Address - Country:US
Practice Address - Phone:984-303-7614
Practice Address - Fax:919-307-8707
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other