Diego Reyes

NPI #1174974349 in Bay Shore, New York

Provider Information

NPI Number
1174974349
Entity Type
Individual
Name
Diego Reyes
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 28, 2016
Last Updated
Jun 28, 2016

Practice Location

Address
18 DALTON RD
ZIP Code
11706-1603
Phone
(631) 522-0739

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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