Most Relevant Information
Provider Data
| NPI Number: | 1003203944 |
| Provider Name: | MARTA ELENA REYNOSO LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 28394 |
Most Important Dates
| Enumeration Date: | 04/17/2015 |
| Last Updated: | 04/17/2015 |
Provider Practice Location
409 JACKSON ST
SUITE 200
HAYWARD
CA
945441530
Practice Location Phone/Fax
| Phone: | 5108915650 |
| Fax: |
Provider Mailing Location
954 HELEN AVE
SAN LEANDRO
CA
945772128
Provider Mailing Phone/Fax
| Phone: | 5104998944 |
| Fax: |