Individual
REIVAN BUENAOBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 228-5371
Mailing address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 228-5371
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
Primary
R221695
MD
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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