Individual
MRS. EIDER GARAI PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1524 MCHENRY AVE STE 130, MODESTO, CA 95350-4569
(209) 846-3176
Mailing address
1621 BIARRITZ ST, TRACY, CA 95304-5950
(209) 627-7454
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017910
CA
363LP2300X
Primary Care Nurse Practitioner
95017910
CA
Other
Enumeration date
07/28/2021
Last updated
03/23/2022
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