Individual
CHRISTINE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30449 SUNRISE MEADOW DR, EXETER, CA 93221-9406
(559) 904-4656
Mailing address
30449 SUNRISE MEADOW DR, EXETER, CA 93221-9406
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
191034
CA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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