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Individual

NICHOLAS PAUL REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
(504) 842-4348
Mailing address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000005272
PA

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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