Individual provider · Type 1 NPI
Eric Javier Reyes
Recovery Care Clinic/Center · Shelton, WA
NPI number
1679110852
Active
Practice location
307 W Cota St
Shelton, WA 98584-2265
Mailing address
528 Courtside St SW Apt C104
Olympia, WA 98502-8715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recovery Care Clinic/Center Primary | 261QR0800X | None listed |
Recovery Care Clinic/Center: Definition to come...
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About NPI 1679110852
Eric Javier Reyes's National Provider Identifier is 1679110852, issued on Dec 5, 2019. The primary taxonomy on file is Recovery Care Clinic/Center (261QR0800X), and the practice location is in Shelton, WA. The record was last updated on Dec 5, 2019.