Individual
MR. RICARDO REYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1208 E BROADWAY RD STE 215, TEMPE, AZ 85282-1512
(480) 699-1233
(480) 907-7082
Mailing address
2301 W NORTHERN AVE, PHOENIX, AZ 85021-4918
(602) 866-9378
(602) 866-9394
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
11/09/2017
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