Individual
ALESHA MARIE REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78140 CALLE TAMPICO, LA QUINTA, CA 92253-2900
(760) 863-7970
Mailing address
78140 CALLE TAMPICO, LA QUINTA, CA 92253-2900
(760) 863-7970
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/28/2025
Last updated
05/13/2025
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