Individual
JONATHON REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(800) 741-8387
Mailing address
27795 SPRING MEADOW CT, MENIFEE, CA 92585-9700
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
216640
TX
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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