JACOB REYNOSO

GARDENA, CA
NPI1316795917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95167544)
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
Mr. JACOB REYNOSO RN
1225 W 190TH ST
GARDENA, CA 90248-4320
Phone number: 424-354-7703
Mailing Address
Mr. JACOB REYNOSO RN
1225 W 190TH ST
GARDENA, CA 90248-4320
Phone number: 424-354-7703
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