Individual
STEPHANIE G PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3144
(909) 580-2165
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3144
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35202
CA
Other
Enumeration date
01/21/2010
Last updated
11/19/2013
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