Individual
MR. REIGNER PILAO DELENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3522 PILLAR CT, PERRIS, CA 92570-5505
(951) 943-4194
Mailing address
3522 PILLAR CT, PERRIS, CA 92570-5505
(951) 943-4194
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95008781
CA
363LG0600X
Gerontology Nurse Practitioner
95008781
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95008781
CA
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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