Individual
RYLAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
130 COPA DE ORO DR, BREA, CA 92823-7013
(657) 275-9145
Mailing address
130 COPA DE ORO DR, BREA, CA 92823-7013
(657) 275-9145
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024168626
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000134
CA
Other
Enumeration date
12/08/2009
Last updated
01/03/2016
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