Individual
JUDY JEAN PERMEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 W 1ST ST, TUSTIN, CA 92780-3004
(714) 617-4593
Mailing address
6033 E CAMINO MANZANO, ANAHEIM, CA 92807-3216
(714) 322-6013
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
51350
CA
183700000X
Pharmacy Technician
35052
CA
Other
Enumeration date
11/29/2014
Last updated
11/29/2014
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