Individual
MR. REYNALDO A GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 POPE ST APT B706, SALEM, MA 01970-2143
(978) 304-9672
Mailing address
12 POPE ST APT B706, SALEM, MA 01970-2143
(978) 304-9672
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S39956734
MA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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