Individual
DAVID REIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
47915 OASIS ST, PUF UNIT, INDIO, CA 92201
(760) 863-8600
Mailing address
43100 PALM ROYALE DR APT 1423, LA QUINTA, CA 92253-4903
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
681715
CA
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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