Eric Javier Reyes
Clinic/Center, Recovery Care in Shelton, WA. Individual provider (NPI-1).
NPI number1679110852
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1679110852
- Entity type
- Individual (NPI-1)
- Name
- Eric Javier Reyes
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2019
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0800X | Clinic/Center, Recovery Care | – | – | Yes |
Practice location
307 W Cota StShelton, WA 98584-2265
Phone 503-348-3767
Mailing address
528 Courtside St Sw Apt C104Olympia, WA 98502-8715
Phone 360-581-8188
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