Individual
REGGIE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 432-4399
Mailing address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 432-4399
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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