Individual
FERNANDO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 E PINE ST, STOCKTON, CA 95204-5522
(209) 464-5519
Mailing address
1607 S SCHOOL ST, LODI, CA 95240-6244
(209) 426-7476
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/05/2015
Last updated
12/27/2023
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