| Doctor Name: | MRS. BRITTNEY DAWN REYNOSO |
| NPI Number: | 1073881470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 16292 |
| Business Practice Address: | 6556 Lonetree Blvd Rocklin, CA - 957655874 |
| Business Phone Number: | 9167819000 |
| Business Fax Number: | 9167819020 |
| Mailing Address: | 6556 Lonetree Blvd, ROCKLIN |
| State: | CA |
| Postal Code: | 957655874 |
| Phone Number: | 9167819000 |
| Fax Number: | 9167819020 |
| NPI Enumeration Date: | 12/13/2011 |
| NPI Last Update Date: | 04/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 16292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |