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Individual
LUISA A REYES
Active
Individual
LUISA A REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016949
NY
363A00000X
Physician Assistant
2474
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720575
—
AZ
Enumeration date
02/28/2006
Last updated
02/09/2024
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