Individual
ANNKATHLYLN REYES HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
117 BRADLEY BLVD, TRAVIS AFB, CA 94535-1345
(303) 993-9275
Mailing address
117 BRADLEY BLVD, TRAVIS AFB, CA 94535-1345
(303) 993-9275
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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