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Individual

MS. MARISSA REYNOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3138 CHIMNEY CT, UNION CITY, CA 94587-1650
(510) 449-7738
Mailing address
3151 S ST APT 340, SACRAMENTO, CA 95816-7075
(510) 449-7738

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000694
CA

Other

Enumeration date
01/05/2017
Last updated
08/03/2023
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