Individual
VICKIE REZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N MAIN ST STE 300, SANTA ANA, CA 92701-3625
(714) 480-6731
Mailing address
1200 N MAIN ST STE 300, SANTA ANA, CA 92701-3625
(714) 480-6731
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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