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Sophia Reynoso
Student in an Organized Health Care Education/Training Program in Fullerton, California
NPI 1083284210

Sophia Reynoso is a Student in an Organized Health Care Education/Training Program based in Fullerton, CA. Sophia Reynoso practices in Fullerton, CA. The NPI Number for Sophia Reynoso is 1083284210 and holds a License No. (California).

The current practice location address for Sophia Reynoso is 800 N State College Blvd, Fullerton, CA and can be reached out via phone at 657-278-2011.

Location: 800 N State College Blvd, Fullerton, CA, 92831-3547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083284210
Provider Name
Sophia Reynoso
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 N State College Blvd, Fullerton, CA, 92831-3547
Phone Number
657-278-2011
Fax Number
Provider Enumeration Date
06/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 N State College Blvd
City
Fullerton
State
California
Zip
92831-3547
Phone Number
657-278-2011
Fax Number
person
Provider Business Mailing Address Details
Address
800 N State College Blvd
City
Fullerton
State
California
Zip
92831-3547
Phone Number
657-278-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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