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Individual

MEGAN REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
12677 HESPERIA RD, SUITE 160, VICTORVILLE, CA 92395-7735
(760) 955-5656
Mailing address
12677 HESPERIA RD, SUITE 160, VICTORVILLE, CA 92395-7735
(760) 955-5656

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95000359
CA

Other

Enumeration date
02/20/2014
Last updated
02/20/2014
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