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Individual

DANIEL FREDRICK REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2680 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4708
(323) 581-4665
Mailing address
8534 PALOMA WAY, RIVERSIDE, CA 92504-4065

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011426
CA

Other

Enumeration date
04/04/2024
Last updated
04/04/2024
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