Individual
JORGE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 E 1ST ST SPC 3, CALEXICO, CA 92231-2731
(760) 235-3270
Mailing address
341 E 1ST ST SPC 3, CALEXICO, CA 92231-2731
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A7778035
CA
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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