Individual
GINA MARIE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13651 WILLARD ST, PANORAMA CITY, CA 91402
(818) 815-6248
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000794
CA
Other
Enumeration date
11/01/2017
Last updated
12/02/2022
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