Individual
EVANGELINA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 HOOVER DR, BRANDYWINE, WV 26802-8285
(304) 249-6286
Mailing address
79 HOOVER DR, BRANDYWINE, WV 26802-8285
(304) 249-6286
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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