Individual
NICOLE MARIE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
35176 N MAGNETTE WAY, QUEEN CREEK, AZ 85142-3916
(480) 650-3508
Mailing address
35176 N MAGNETTE WAY, QUEEN CREEK, AZ 85142-3916
(480) 650-3508
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4276
AZ
Other
Enumeration date
09/29/2008
Last updated
10/11/2022
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