Individual
BIANEY RUBY HUERTA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
637 BROADWAY ST, KING CITY, CA 93930-3231
(831) 525-8181
Mailing address
PO BOX 760, KING CITY, CA 93930-0760
(831) 578-3883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
164X00000X
Licensed Vocational Nurse
Primary
VN751749
CA
363AM0700X
Medical Physician Assistant
Primary
—
CA
Other
Enumeration date
03/02/2018
Last updated
03/30/2026
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