Individual
DENISE L REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CSN
Contact information
Practice address
6875 ATLANTA CIR, STOCKTON, CA 95219-3233
(209) 610-6082
Mailing address
6875 ATLANTA CIR, STOCKTON, CA 95219-3233
(209) 610-6082
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95169638
CA
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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