Reynaldo L Reyes Jr, PHYSICIAN ASSISTANT | |
35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 | |
(619) 532-4056 | |
Not Available |
Full Name | Reynaldo L Reyes Jr |
---|---|
Gender | Male |
Speciality | Military Health Care Provider - Independent Duty Corpsman |
Location | 35000 Guadalcanal St, San Diego, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306800644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 58601 (California) | Secondary |
1710I1002X | Military Health Care Provider - Independent Duty Corpsman | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Reynaldo L Reyes Jr, PHYSICIAN ASSISTANT 12497 Conquistador Way, San Diego, CA 92128-2152 Ph: (858) 603-3106 | Reynaldo L Reyes Jr, PHYSICIAN ASSISTANT 35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 Ph: (619) 532-4056 |