Individual
PATRICK SEAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
474 W VERMONT AVE, ESCONDIDO, CA 92025-6584
(760) 432-9884
Mailing address
9465 FARNHAM ST, SAN DIEGO, CA 92123-1308
(858) 573-2600
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-UJAYZC
CA
Other
Enumeration date
06/05/2023
Last updated
05/07/2024
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