Matthew Reyes
Student in an Organized Health Care Education/Training Program in Norfolk, VA. Individual provider (NPI-1).
NPI number1891361986
StatusActive
Last updated in NPPESMay 31, 2021
Details
- NPI
- 1891361986
- Entity type
- Individual (NPI-1)
- Name
- Matthew Reyes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2021
- Certification date
- May 31, 2021
- Last updated
- May 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | VA | Yes |
Practice location
403 E Chester StNorfolk, VA 23503-3707
Phone 757-401-8184
Mailing address
403 E Chester StNorfolk, VA 23503-3707
Phone 757-401-8184
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