Individual
MONIQUE CHANTEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 GARNER RD, SUITE 107, RALEIGH, NC 27610-4687
(919) 832-4453
Mailing address
1557 ELLA LN, STEM, NC 27581-9120
(919) 638-1322
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72679
NC
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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