Individual
MR. ELIZAR JAY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2058 QUARTET LOOP UNIT 1, CHULA VISTA, CA 91915-2733
(619) 761-2134
Mailing address
2058 QUARTET LOOP UNIT 1, CHULA VISTA, CA 91915-2733
(619) 761-2134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95106512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNK
COUNTY OF SAN DIEGO, PUBLIC HEALTH NURSE
—
Enumeration date
07/27/2022
Last updated
07/27/2022
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