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Individual

ALEJANDRA ENEDINA PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(650) 286-4394
Mailing address
2330 UNION ST APT 4, SAN DIEGO, CA 92101-1346
(619) 721-1588

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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