NPI 1538476569

Johnny Reyes, EMT

Practitioner Driver San Jose, CA

Practice location

Address: 4951 Cherry Ave APT 274, San Jose, CA 95118-2743
Phone: (408) 661-8338

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D5540761 (CA)

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Registry record

NPI: 1538476569
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2010
Record last updated: 13 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.