Individual
MRS. TEDRA A REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33555 POURROY RD, WINCHESTER, CA 92596-9675
(909) 731-2960
Mailing address
33555 POURROY RD, WINCHESTER, CA 92596-9675
(909) 731-2960
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
386230
CA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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