Individual
LEA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5317 2ND ST SW, ALBUQUERQUE, NM 87105-0766
(505) 877-3800
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-82681
NM
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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