Most Relevant Information
Provider Data
| NPI Number: | 1003210469 |
| Provider Name: | LAKENYA REESE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | D7211097 |
Most Important Dates
| Enumeration Date: | 10/14/2014 |
| Last Updated: | 02/16/2024 |
Provider Practice Location
678 EAST BRIER DRIVE SUITE 200
SAN BERNARDINO
CA
924154238
Practice Location Phone/Fax
| Phone: | 9095010700 |
| Fax: |
Provider Mailing Location
678 EAST BRIER DRIVE SUITE 200
SAN BERNARDINO
CA
924154238
Provider Mailing Phone/Fax
| Phone: | 9095010700 |
| Fax: |