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Individual

MR. HENRY PERESCHICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QUALIFIED MEDICAL IN

Contact information

Practice address
221 MARIPOSA ST, KINGSBURG, CA 93631
(559) 859-4945
(559) 897-4494
Mailing address
221 MARIPOSA ST., KINGSBURG, CA 93631
(559) 859-4945
(559) 897-4494

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
179908
CA

Other

Enumeration date
11/22/2017
Last updated
11/29/2017
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