Most Relevant Information
Provider Data
| NPI Number: | 1003414954 |
| Provider Name: | JIM REYES RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95069118 |
Most Important Dates
| Enumeration Date: | 10/13/2020 |
| Last Updated: | 10/13/2020 |
Provider Practice Location
405 W. 3RD STREET
SANTA ANA
CA
927019270
Practice Location Phone/Fax
| Phone: | 7148342217 |
| Fax: |
Provider Mailing Location
405 W. 3RD STREET
SANTA ANA
CA
92701
Provider Mailing Phone/Fax
| Phone: | 7148342217 |
| Fax: |