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Individual

MR. JESS LARAZA REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
426 W 20TH ST, ANTIOCH, CA 94509-2514
19254706763

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
771339
CA

Other

Enumeration date
07/04/2017
Last updated
07/04/2017
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