Reyes, Eugenio Fajardo

Reyes, Eugenio Fajardo is an sole proprietor health care provider with primary practice located at 3261 W Sargent Rd , Lodi CA 95242-9212. He recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as his primary health care specialty. Reyes, Eugenio Fajardo can be contacted via phone (925) 963-7957.

Contact Information

Primary practice address
3261 W Sargent Rd Lodi CA 95242-9212
Phone: (925) 963-7957
Fax: (209) 369-7010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X PENDING California

Profile Details

NPI number 1619132198
LBN Legal business name Reyes, Eugenio Fajardo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2008
Last updated Jul 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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