DAN DAWAYNE REYNOLDS

OSCEOLA, IN
NPI1396983581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2472E0500X Technician, Other, EEG
Additional Taxonomies246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: IL  1000)
2472E0500X Technician, Other, EEG
(Licence: IL  3901)
Enumeration Date2009-01-27
Last Update Date2013-11-14
Business Address
Mr. DAN DAWAYNE REYNOLDS R. EEG T. , CNIM
10207 CHARLES ST
OSCEOLA, IN 46561-8922
Phone number: 217-494-4243
Mailing Address
Mr. DAN DAWAYNE REYNOLDS R. EEG T. , CNIM
460 GODDARD
IRVINE, CA 92618-4610
Phone number: 217-494-4243