Individual
MRS. MARY MITZI DE LOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6950 LEVANT ST, SAN DIEGO, CA 92111-6010
(858) 694-5727
Mailing address
1611 SANTA FLORA RD, CHULA VISTA, CA 91913-1740
(619) 421-7486
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
535204
CA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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