Individual
JOE LEE REYEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2404
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140924
CO
Other
Enumeration date
06/28/2020
Last updated
06/28/2020
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