Individual
BLANCA IDALIA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8788 JAMACHA RD, SPRING VALLEY, CA 91977-4035
(619) 515-2380
(619) 713-0480
Mailing address
8788 JAMACHA RD, SPRING VALLEY, CA 91977-4035
(619) 515-2380
(619) 713-0480
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/05/2012
Last updated
04/14/2025
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