Individual
DAVID REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5175 FLORA ST, MONTCLAIR, CA 91763-3865
(442) 666-4765
Mailing address
5175 FLORA ST, MONTCLAIR, CA 91763-3865
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
B5019841
CA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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