Individual
MR. JOHNNY REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
4951 CHERRY AVE APT 274, SAN JOSE, CA 95118-2743
(408) 661-8338
Mailing address
4951 CHERRY AVE APT 274, SAN JOSE, CA 95118-2743
(408) 661-8338
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D5540761
CA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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