Provider Demographics
NPI:1861412918
Name:REECE, JOY YOW (RTRMQM)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:YOW
Last Name:REECE
Suffix:
Gender:F
Credentials:RTRMQM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1684 S HORNER BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-5634
Mailing Address - Country:US
Mailing Address - Phone:919-718-5333
Mailing Address - Fax:919-776-3746
Practice Address - Street 1:1684 S HORNER BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5634
Practice Address - Country:US
Practice Address - Phone:919-718-5333
Practice Address - Fax:919-776-3746
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2541792471M2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M2300XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMammography