Individual
MS. CHARLESIA D REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4780 ARVILLE ST # B, LAS VEGAS, NV 89103-5402
(602) 710-7731
Mailing address
8355 W CROWN KING RD, TOLLESON, AZ 85353-3616
(602) 710-7731
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1000024286
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000024286
CNA
AZ
Enumeration date
09/23/2013
Last updated
09/23/2013
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