Individual
SHERLON SIMBULAN REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 PACIFIC HWY UNIT 3501, SAN DIEGO, CA 92101-2600
(858) 945-6410
Mailing address
3139 SWEETWATER SPRINGS BLVD APT 145, SPRING VALLEY, CA 91978-1535
(619) 352-8902
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y7767469
DRIVER LICESNE
CA
Enumeration date
02/10/2020
Last updated
02/10/2020
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