Individual
DEYANIRA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22857 US HIGHWAY 20A, ARCHBOLD, OH 43502-9138
(419) 906-7282
Mailing address
22857 US HIGHWAY 20A, ARCHBOLD, OH 43502-9138
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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