Provider Demographics
NPI:1396318226
Name:REYES, JESUS ADOLFO (SPANISH INTERPRETER)
Entity type:Individual
Prefix:
First Name:JESUS
Middle Name:ADOLFO
Last Name:REYES
Suffix:
Gender:M
Credentials:SPANISH INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 S 41ST AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3821
Mailing Address - Country:US
Mailing Address - Phone:509-895-1804
Mailing Address - Fax:
Practice Address - Street 1:1020 S 41ST AVE APT 5
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3821
Practice Address - Country:US
Practice Address - Phone:509-895-1804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604164446171R00000X
WASC11933171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter