Individual
CARLA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
77547 MISSOURI DR, PALM DESERT, CA 92211-8821
(760) 360-2392
Mailing address
77547 MISSOURI DR, PALM DESERT, CA 92211-8821
(760) 360-2392
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
736544
CA
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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