Most Relevant Information
Provider Data
| NPI Number: | 1003318379 |
| Provider Name: | JOSE ARON REYES-MEDINA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/02/2018 |
| Last Updated: | 03/02/2018 |
Provider Practice Location
801 S RANCHO DR STE E2B
LAS VEGAS
NV
891063812
Practice Location Phone/Fax
| Phone: | 7025862763 |
| Fax: | 7029061436 |
Provider Mailing Location
1626 KEENA DR
HENDERSON
NV
890114349
Provider Mailing Phone/Fax
| Phone: | 7023510669 |
| Fax: |