Search › California › 225700000X
Mary Jetmore-Reichardt, MP
NPI 1548565476 · on the registry since 2011 · sole proprietor
Practice
- Address
- 580 Forest Shade #4
Crestline, CA 92325 - Phone
- (909) 338-6477
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-25
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