Individual
MAYRA R REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 W CRESCENT DR, AZUSA, CA 91702-2327
(323) 404-0228
Mailing address
425 W CRESCENT DR, AZUSA, CA 91702-2327
(323) 404-0228
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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