Individual
REYOOT LOVE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(209) 918-6049
Mailing address
1440 RAMSGATE DR, MODESTO, CA 95355-3444
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A198270
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/26/2020
Last updated
10/09/2025
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