Individual provider · NPI-1

Vickie Reza

Public Health or Welfare · Santa Ana, CA

NPI number1285042077
StatusActive
Last updated in NPPESJul 24, 2014

Details

NPI
1285042077
Entity type
Individual (NPI-1)
Name
Vickie Reza
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 24, 2014
Last updated
Jul 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251K00000X Public Health or Welfare––Yes

Practice location

1200 N Main St Ste 300
Santa Ana, CA 92701-3625

Phone 714-480-6731

Mailing address

1200 N Main St Ste 300
Santa Ana, CA 92701-3625

Phone 714-480-6731

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