Individual
ELIZABETH MARIA REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 BROOKLEY AVE SW, BOLLING AFB, DC 20032-7704
(202) 404-5512
Mailing address
510 WHEELER BLVD, OXFORD, PA 19363-1544
(484) 667-1096
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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