Individual
EVA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5560 OVERLAND AVE, SAN DIEGO, CA 92123-1204
(858) 459-5934
Mailing address
12344 CORNWALLIS SQ, SAN DIEGO, CA 92128-3749
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
83814
CA
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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