MEDICARE: JESSICA REYNA

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1871296368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA REYNA

Provider Business Mailing Address
First Line	:	935 DEMOS CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89512-4531
Country	:	US
Telephone Number	:	209-631-4175
Fax Number	:

Provider Business Practice Location Address
First Line	:	935 DEMOS CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89512-4531
Country	:	US
Telephone Number	:	209-631-4175
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	03/23/2023

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Directions to “ JESSICA REYNA ” Practice Location

Language	Start Address	Practice Location

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