Alisia Roberta, Dominique Reyes
NPI #1841840949 in San Jose, California
Provider Information
- NPI Number
- 1841840949
- Entity Type
- Individual
- Name
- Alisia Roberta, Dominique Reyes
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 19, 2019
- Last Updated
- Sep 19, 2019
Practice Location
- Address
- 2210 DOBERN AVE
- City
- San Jose
- State
- California
- ZIP Code
- 95116-3403
- Phone
- (408) 646-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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