Individual
MARIA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39426 HIGHWAY 190 E, SLIDELL, LA 70461-2356
(985) 290-3527
Mailing address
39426 HIGHWAY 190 E, SLIDELL, LA 70461-2356
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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