Individual
ERIC REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
966 EAGLESNEST DR, CORONA, CA 92879-0812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51467
CA
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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