Organization
DR DENISE PERSICHINO DO INC
Active
Organization
DR DENISE PERSICHINO DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE PERSICHINO (OWNER)
(909) 435-0899
Entity
Organization
Contact information
Practice address
10737 LAUREL ST STE 230, RANCHO CUCAMONGA, CA 91730-7659
(909) 435-0899
Mailing address
10737 LAUREL ST STE 230, RANCHO CUCAMONGA, CA 91730-7659
(909) 435-0899
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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