Individual
BREANNA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 S. MAIN ST, STE # E4, TONOPAH, NV 89049-1311
(775) 482-3100
Mailing address
PO BOX 1311, TONOPAH, NV 89049-1311
(775) 482-3100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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