Individual
JAI REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 EUREKA ROAD, ROSEVILLE, CA 95661
(916) 474-7777
Mailing address
1600 EUREKA ROAD, ROSEVILLE, CA 95661
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
22928
CA
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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