Individual
MRS. ROSARIO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 CRYSTAL CT, OLIVEHURST, CA 95961-4808
(530) 300-5087
Mailing address
1726 CRYSTAL CT, OLIVEHURST, CA 95961-4808
(530) 300-5087
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-59362
CA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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