Individual
DIANA CAROLINA REYES
Active
Individual
DIANA CAROLINA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M, L.M
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
5571698
ID
176B00000X
Midwife
Primary
LM193
AZ
Other
Enumeration date
01/19/2015
Last updated
06/30/2026
Update your record
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