Individual
MS. SHAILA SIMBULAN REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6441 LA JOLLA SCENIC DR S, LA JOLLA, CA 92037-6446
(858) 454-1321
Mailing address
1325 S WOODMAN ST APT 39, SAN DIEGO, CA 92139-1262
(619) 577-8798
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2633870
DRIVER LICENSE
CA
Enumeration date
09/18/2019
Last updated
09/18/2019
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