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Individual

JOSE MANUEL REYES ZETINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
217 SOUTH SMALLWOOD ST, CUMBERLAND, MD 21502
(240) 293-2650
Mailing address
127 S SMALLWOOD ST, CUMBERLAND, MD 21502-3397

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP53542
MD

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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