Individual
DR. ALFONSO REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
820 JAMACHA RD, SUITE 103, EL CAJON, CA 92019-3205
(619) 579-1068
(619) 579-5014
Mailing address
1731 VIA ENCANTADORAS, SAN YSIDRO, CA 92173-1833
(619) 805-5610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20760
CA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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