Provider Information
Last Updated : Aug 14 2024 4:02 PM
Marisol Reynoso
City Reedley |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Reynoso |
First Name Marisol |
Address 1220 E Washington Ave |
State CA |
Zip Code 93654 |
Phone (559)305-7130 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Physician ID 225770 |
Language 1 Spanish |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1972984102 |
Access Requirement Limited |
EXT_BUILD_IND EB |
License ID UNK10279 |
Email josuna@codemetro.com |
Board Certified No |
Self Access Flag Self Reported Data |
PHY CCT IND N |