Individual
MRS. ELISSA REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1134 BOBO AVE APT A, YUMA, AZ 85365-3719
(928) 271-5066
Mailing address
840 E 22ND ST, YUMA, AZ 85365-2425
(928) 782-9241
(928) 782-6737
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
TRN1555221
AZ
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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