Individual
FREDY REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5924 16TH ST NW, WASHINGTON, DC 20011-2862
(202) 560-0555
Mailing address
8110 BUTTON BUSH CT, CLINTON, MD 20735-3349
(202) 560-0555
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
E3131816
DC
376K00000X
Nurse's Aide
Primary
NA0000605862
DC
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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