Individual
MAUREEN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1224 VINE ST, LOS ANGELES, CA 90038-1612
(323) 769-6100
(323) 467-2647
Mailing address
1692 AMBERWOOD DR APT A, SOUTH PASADENA, CA 91030-1935
(323) 769-6100
(323) 467-2647
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
402550
CA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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