Individual
MISCHAREL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13575 W INDIAN SCHOOL RD, LITCHFIELD PARK, AZ 85340-4901
(623) 512-7703
Mailing address
2403 S 363RD AVE, TONOPAH, AZ 85354-7555
(623) 512-7703
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
08/04/2023
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