Individual
LETICIA ILEANA REYNA-TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 N ARROYO BLVD, PASADENA, CA 91103-1208
(626) 296-3474
Mailing address
1870 N ARROYO BLVD, PASADENA, CA 91103-1208
(626) 296-3474
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN 495243
CA
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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