Individual
DITAS JOY REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
335 E AVENUE K6 STE B, LANCASTER, CA 93535-4645
(661) 471-4870
Mailing address
3900 SADDLE DR, PALMDALE, CA 93551-5671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016729
CA
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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