Individual
RONALDO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
(714) 647-6092
Mailing address
5731 PLACERVILLE PL, YORBA LINDA, CA 92886-6040
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
579162
CA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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