Individual
REYMUNDO NOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
74230 CANDLEWOOD ST UNIT A, PALM DESERT, CA 92260-4865
(760) 600-5825
(760) 600-5824
Mailing address
74230 CANDLEWOOD ST UNIT A, PALM DESERT, CA 92260-4865
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT65802
CA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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