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NPI Code Detail

MEDICARE: MARIA JANINA REYES

MEDICARE: MARIA JANINA REYES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD00048737WA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1013187848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA JANINA REYES
Provider Business Mailing Address
First Line : 8725 S 212TH ST
Second Line :
City : KENT
State : WA
Zip : 98031-1921
Country : US
Telephone Number : 917-498-6146
Fax Number :
Provider Business Practice Location Address
First Line : 8725 S 212TH ST
Second Line :
City : KENT
State : WA
Zip : 98031-1921
Country : US
Telephone Number : 917-498-6146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2008
Last Update Date : 12/20/2023

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Directions to “ MARIA JANINA REYES ” Practice Location

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