Provider Information for 1124635172
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MONICA PEREZ
Sex: Female
NPI: 1124635172
Last Updated: 2024-05-24
Certification Date: 2024-05-24
Certification Date: 2024-05-24
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124635172 | ||||||||||||
| Enumeration Date | 2020-09-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 555 N PERRIS BLVD BLDG A PERRIS, CA 92571-2811 United States Phone: 951-436-5300 | Fax: | ||||||||||||
| Primary Practice Address | 555 N PERRIS BLVD BLDG A PERRIS, CA 92571-2811 United States Phone: 951-436-5300 | Fax: | ||||||||||||
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