Individual
LUIS ENRIQUE REYES MENDIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35249 KENAI SPUR HWY, SOLDOTNA, AK 99669
(907) 781-3227
Mailing address
35249 KENAI SPUR HWY, SOLDOTNA, AK 99669
(907) 781-3227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
210543
AK
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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