Individual
PETE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5935
(253) 566-2252
Mailing address
1305 TACOMA AVE S STE 201, TACOMA, WA 98402-1903
(253) 396-5800
(253) 566-2252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
201909762LPN
OR
164W00000X
Licensed Practical Nurse
Primary
LP61059887
WA
164X00000X
Licensed Vocational Nurse
306983
TX
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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