Individual
LUCELENE JAIMES PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 MORAGA DR, SANTA ROSA, CA 95404-6114
(707) 545-4283
Mailing address
2121 MORAGA DR, SANTA ROSA, CA 95404-6114
(707) 545-4283
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
210128577
CA
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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