Individual
REYNA IVONNE MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
507 S ATLANTIC BLVD, LOS ANGELES, CA 90022-2621
(323) 268-9191
Mailing address
2612 W AVENUE 32, LOS ANGELES, CA 90065-2163
(323) 490-0675
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA36913
CA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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