Melissa Reyes
Home Health Aide in Gardena, CA. Individual provider (NPI-1).
NPI number1982204707
StatusActive
Last updated in NPPESOct 30, 2020
Details
- NPI
- 1982204707
- Entity type
- Individual (NPI-1)
- Name
- Melissa Reyes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
835 N Rosecrans Ave Apt 125Gardena, CA 90247
Phone 323-369-7241
Mailing address
119 S Los Robles AvePasadena, CA 91101-5449
Phone 323-369-7241
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