Individual
SAMANTHA VICTORIA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4804 MORRO BLVD, PORTSMOUTH, VA 23703-2108
(757) 214-5159
Mailing address
4804 MORRO BLVD, PORTSMOUTH, VA 23703-2108
(757) 214-5159
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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