Individual
MR. EDMOND CHAN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT CORPSMAN
Contact information
Practice address
NAVAL AIR STATION NORTH ISLAND, BLDG 290, SANDIEGO, CA 92135
(619) 767-1496
(619) 767-1497
Mailing address
35755 CORAL DR, WINCHESTER, CA 92596
(951) 852-8530
(619) 767-1497
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
CA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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