Individual
JEREMYMARK AMERICO REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44505 90TH ST W, LANCASTER, CA 93536-7705
(661) 499-6949
Mailing address
44505 90TH ST W, LANCASTER, CA 93536-7705
(661) 499-6949
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-XZWNDP
CA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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