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Individual

ILYANA REYNOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
455 GRAYSON HWY, LAWRENCEVILLE, GA 30046-7171
(770) 339-4283
Mailing address
1106 YELLOW RIVER DR, LAWRENCEVILLE, GA 30043-8700
(646) 496-5306

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN244021
GA

Other

Enumeration date
10/04/2022
Last updated
08/26/2025
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