Individual
BRENDA ESPERANZA FELIX REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6239 E BROWN RD STE 105, MESA, AZ 85205-4933
(602) 434-9230
Mailing address
6239 E BROWN RD STE 105, MESA, AZ 85205-4933
(602) 434-9230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
COMMERCIAL
—
Enumeration date
11/10/2021
Last updated
01/10/2022
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