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Individual

ERIC JAVIER REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(503) 348-3767
Mailing address
528 COURTSIDE ST SW APT C104, OLYMPIA, WA 98502-8715
(360) 581-8188

Taxonomy

Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary

Other

Enumeration date
12/05/2019
Last updated
12/05/2019
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