Individual
MR. DAVID PEREZ CORPIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3358 RIBWORT RD, SAN BERNARDINO, CA 92407-8940
(909) 800-7906
Mailing address
1224 RIVIERA DR, CALIMESA, CA 92320-1091
(909) 500-3786
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D9466465
CA
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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