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Reynaldo Ballesteros

NPI 1396141164 · on the registry since 2014 · sole proprietor

Practice

Address
646 Archer Ct
Vallejo, CA 94591
Phone
(707) 315-8755

Registry record

Primary taxonomy
225XP0019X
225XP0019X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California