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Organization
MAGNOLIA NURSING PROFESSIONAL CORPORATION
Active
Organization
MAGNOLIA NURSING PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN REYES FNP (PRESIDENT)
(714) 785-3639
Entity
Organization
Contact information
Practice address
3435 WILSHIRE BLVD STE 2780, LOS ANGELES, CA 90010-1901
(714) 785-3639
Mailing address
8453 PENNY DR, RIVERSIDE, CA 92503-1488
(714) 785-3639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
11/08/2022
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