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Individual

SAGE ROSS PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5630 E SANTA ANA CANYON RD, ANAHEIM, CA 92807-3122
(714) 282-7701
Mailing address
1017 HELMSDALE AVE, LA PUENTE, CA 91744-2332
(626) 377-6876

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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