Individual
SIGOURNEY ALANNIS REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 LEON ST, BOSTON, MA 02115-5009
(617) 373-3323
Mailing address
147 CENTRE ST APT 509, BROCKTON, MA 02302-2777
(508) 345-2159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01737
RI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110217940A
—
MA
05
—
1356039770
—
RI
Enumeration date
04/25/2023
Last updated
04/21/2026
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