Individual
VIVIAN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4709 E MADISON AVE, FRESNO, CA 93702-2613
(559) 252-3464
Mailing address
4709 E MADISON AVE, FRESNO, CA 93702-2613
(559) 577-6072
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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