Individual
BECKY REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(650) 832-6900
Mailing address
1315 S GRANT ST, SAN MATEO, CA 94402-1936
(650) 922-0908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
03/27/2018
Last updated
09/17/2019
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