NPI 1700411576

Jaquelina Andrea Reyes

Practitioner Foster Care Agency Buckeye, AZ

Practice location

Address: 25279 W Centre Ave, Buckeye, AZ 85326-2468
Phone: (310) 985-9501
Fax: (602) 455-4624

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 2656335 (AZ)

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X Licence 2656335 (AZ)

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Registry record

NPI: 1700411576
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2020
Record last updated: 11 Mar 2020

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.