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Individual
ROSA MARIA PERALTA
Active
Individual
ROSA MARIA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP17863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020511
—
AZ
01
—
8HH866
INDIV PROV B
CA
Enumeration date
06/09/2008
Last updated
04/19/2018
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