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1407517493
MIA CARMEN REYES
LOS ANGELES, CA
NPI
1407517493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
MIA CARMEN REYES
1401 S GRAND AVE
LOS ANGELES, CA 90015-3010
Phone number: 213-748-2411
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Mailing Address
MIA CARMEN REYES
220 S JUANITA AVE UNIT A
REDONDO BEACH, CA 90277-3438
Phone number: 310-292-1835
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LOS ANGELES COUNTY - DEPARTMENT OF HEALTH SERVICES