Individual
REYNALDO B SANTA MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3480 TERNHAVEN WAY, SACRAMENTO, CA 95835-2454
(916) 418-4884
Mailing address
3480 TERNHAVEN WAY, SACRAMENTO, CA 95835-2454
(916) 418-4884
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A67778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A677780
—
CA
Enumeration date
08/10/2005
Last updated
09/21/2009
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