Most Relevant Information
Provider Data
| NPI Number: | 1003371345 |
| Provider Name: | DAISY REYES RENTERIA RSA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2019 |
| Last Updated: | 03/10/2020 |
Provider Practice Location
121 E 2ND ST
BEARDSTOWN
IL
626181263
Practice Location Phone/Fax
| Phone: | 2173232980 |
| Fax: | 2173233731 |
Provider Mailing Location
121 E 2ND ST
BEARDSTOWN
IL
626181263
Provider Mailing Phone/Fax
| Phone: | 2173232980 |
| Fax: | 2173233731 |