Individual ProviderMark Daverey ReyesStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address20 E River Park Pl W, Fresno, CA 93720-1551(559) 256-4950PECOS EnrollmentBased on the most recent information from CMS, provider Mark Daverey Reyes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992546139Provider TypeIndividualFull NameReyes, Mark DavereyGenderMaleSole ProprietorNoEnumeration Date6/3/2024Last Updated6/3/2024Contact InformationPractice LocationPractice Address20 E River Park Pl W, Fresno, CA 93720-1551Phone(559) 256-4950FaxUnlisted FaxMailing LocationMailing Address20 E River Park Pl W, Fresno, CA 93720-1551Phone(559) 256-4950FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense95041837California