Individual
NICOLETTE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8262 SAN MARINO DR, BUENA PARK, CA 90620-2864
(714) 944-4075
Mailing address
8262 SAN MARINO DR, BUENA PARK, CA 90620-2864
(714) 944-4075
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 3426
CA
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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