Most Relevant Information
Provider Data
| NPI Number: | 1003592635 |
| Provider Name: | INGRID REYES |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/27/2023 |
| Last Updated: | 08/02/2023 |
Provider Practice Location
3800 WATT AVE STE 110
SACRAMENTO
CA
958212622
Practice Location Phone/Fax
| Phone: | 9163440249 |
| Fax: |
Provider Mailing Location
3800 WATT AVE STE 110
SACRAMENTO
CA
958212622
Provider Mailing Phone/Fax
| Phone: | 9163440249 |
| Fax: |