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Individual

LISA MARIE REYNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
300 E 15TH ST, MERCED, CA 95340-6217
(209) 381-6879
Mailing address
1730 OSBORN TER, ATWATER, CA 95301-4234
(209) 357-7536

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
538662
CA

Other

Enumeration date
01/25/2007
Last updated
07/08/2007
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