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Individual

NANCY JANE REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD FACOG

Contact information

Practice address
5176 HILL RD EAST, SUTTER LAKESIDE HOSPITAL FAMILY MEDICINE WOMENS, LAKEPORT, CA 95453
(707) 262-5088
Mailing address
PO BOX 2762, FT BRAGG, CA 95437
(707) 962-0993

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G41803
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G418030
BCBS
05
00G418030
CA
01
7090022
COMMERCIAL
Enumeration date
11/06/2006
Last updated
07/16/2007
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