Individual
ANAIS PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 W MAIN ST, MERCED, CA 95340-4718
(209) 205-1058
Mailing address
642 W MAIN ST, MERCED, CA 95340-4718
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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