Individual
JERSHIE ANN JAVIER REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(619) 579-8373
Mailing address
1224 PARAISO AVE, SPRING VALLEY, CA 91977-4338
(619) 739-0055
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222811
CA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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