Individual
NANCY INGE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 W VISTA WAY STE A, VISTA, CA 92083-5704
(760) 758-1650
(760) 758-1701
Mailing address
9808 VENICE BLVD STE 300, CULVER CITY, CA 90232-2750
(310) 237-0454
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-GBZWPV
CA
373H00000X
Day Training/Habilitation Specialist
MPSS-GBZWPV
CA
Other
Enumeration date
11/07/2024
Last updated
08/22/2025
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