Organization
DR REY DE LOS ANGELES, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO A DE LOS ANGELES MD (PRESIDENT)
(308) 384-4739
Entity
Organization
Contact information
Practice address
1811 W 2ND ST, SUITE 245, GRAND ISLAND, NE 68803-5413
(308) 384-4739
(308) 384-9195
Mailing address
1811 W 2ND ST, SUITE 245, GRAND ISLAND, NE 68803-5413
(308) 384-4739
(308) 384-9195
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18636
NE
Other
Enumeration date
05/30/2009
Last updated
05/30/2009
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