Individual
CATHY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43423 DIVISION ST STE 107, LANCASTER, CA 93535-4640
(661) 726-2850
(661) 726-2854
Mailing address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 726-2850
(661) 726-2854
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
NA
CA
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
NA
CA
Other
Enumeration date
03/29/2007
Last updated
05/30/2023
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