Individual
ASPEN PEROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS, RDN
Contact information
Practice address
2575 E BIDWELL ST STE 210, FOLSOM, CA 95630-6446
(916) 984-7850
Mailing address
11905 SILVER CLIFF WAY, GOLD RIVER, CA 95670-8397
(505) 550-5989
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
978266
NM
363A00000X
Physician Assistant
Primary
PA63653
CA
Other
Enumeration date
07/29/2019
Last updated
10/23/2024
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