Individual
MALIAH REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852
(541) 772-4648
(541) 734-2410
Mailing address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852
(541) 772-4648
(541) 734-2410
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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