Individual
ALEXIS DIZON REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2171 S GROVE AVE, ONTARIO, CA 91761-4600
(909) 923-4080
Mailing address
2171 S GROVE AVE, ONTARIO, CA 91761-4600
(909) 923-4080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95153806
CA
363LF0000X
Family Nurse Practitioner
Primary
95022212
CA
Other
Enumeration date
07/01/2022
Last updated
04/20/2023
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