Organization
ADORACION REYES MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL ANTIDO MD (CEO)
(562) 310-6703
Entity
Organization
Contact information
Practice address
11618 SOUTH ST STE 214, ARTESIA, CA 90701-6618
(562) 310-6703
Mailing address
11618 SOUTH ST STE 214, ARTESIA, CA 90701-6618
(562) 310-6703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
10/03/2024
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