Individual
KERISIMASI L REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
39180 FARWELL DR STE 110, FREMONT, CA 94538-1015
(510) 739-6520
(510) 739-6522
Mailing address
39180 FARWELL DR STE 110, FREMONT, CA 94538-1015
(510) 739-6520
(510) 739-6522
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
20A13974
CA
Other
Enumeration date
03/30/2010
Last updated
09/04/2019
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