Individual
JOSEPH REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13050 AURORA DR, SAN LEANDRO, CA 94577-3159
(510) 618-4300
Mailing address
1163 FULTON AVE, VALLEJO, CA 94591-8005
(707) 315-7030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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