Individual
YASMIN SAN NICOLAS REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4235 HARVEST CIR, ROCKLEDGE, FL 32955-4123
(210) 385-5743
Mailing address
4235 HARVEST CIR, ROCKLEDGE, FL 32955-4123
(210) 385-5743
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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