Individual
DORTHY REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10437 MATTOCK AVE, DOWNEY, CA 90241-3006
(562) 826-8000
Mailing address
10437 MATTOCK AVE, DOWNEY, CA 90241-3006
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
247865
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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