Individual
MARLA GEORGIA REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
11205 BALTIMORE ST NE UNIT B, BLAINE, MN 55449-4869
(612) 467-3506
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2466526
MN
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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