Individual
GERARDO REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(310) 924-2675
Mailing address
1840 44TH ST, SACRAMENTO, CA 95819-4714
(310) 924-2675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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