Most Relevant Information
Provider Data
| NPI Number: | 1003516980 |
| Provider Name: | DEKIEGAI ELEAZER REEVES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2023 |
| Last Updated: | 03/08/2023 |
Provider Practice Location
14786 BARKSDALE ST
WOODBRIDGE
VA
221931704
Practice Location Phone/Fax
| Phone: | 7038644561 |
| Fax: |
Provider Mailing Location
14786 BARKSDALE ST
WOODBRIDGE
VA
221931704
Provider Mailing Phone/Fax
| Phone: | 7038644561 |
| Fax: |