Individual
AVIS LORETTA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5115 AVENUE L, GALVESTON, TX 77551-4548
(409) 692-2116
(409) 770-0142
Mailing address
5115 AVENUE L, GALVESTON, TX 77551-4548
(409) 692-2116
(409) 770-0142
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
232320
TX
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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