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Individual
MARIA CASSANDRA REYES
Active
Individual
MARIA CASSANDRA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
363LF0000X
Family Nurse Practitioner
Primary
F12180873
CA
Other
Enumeration date
01/05/2019
Last updated
09/01/2019
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