Provider Information for 1003157389
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Mr. JAVIER PEREZ LCSW
Sex: Male
NPI: 1003157389
Last Updated: 2013-03-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1003157389 | ||||||||
| Enumeration Date | 2013-03-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2305 MEADE AVE 3 SAN DIEGO, CA 92116-4113 United States Phone: 619-787-2534 | Fax: | ||||||||
| Primary Practice Address | 2305 MEADE AVE 3 SAN DIEGO, CA 92116-4113 United States Phone: 619-787-2534 | Fax: | ||||||||
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