Individual
FRANK PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTC
Contact information
Practice address
701 E 28TH ST, LONG BEACH, CA 90806-2759
(562) 426-9890
(562) 426-7809
Mailing address
701 E 28TH ST, LONG BEACH, CA 90806-2759
(562) 426-9890
(562) 426-7809
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96-0490
OTC
—
Enumeration date
01/19/2016
Last updated
01/19/2016
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