Individual
MRS. ELLEN MARY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11002 W LAURELWOOD LN, AVONDALE, AZ 85323-4036
(623) 772-2580
Mailing address
11002 W LAURELWOOD LN, AVONDALE, AZ 85323-4036
(623) 772-2580
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN097355
AZ
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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