Individual
SUMMER RAENAE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SFIDC
Contact information
Practice address
816 BLUE BELL LN, OCEANSIDE, CA 92058-8648
(760) 402-2353
Mailing address
816 BLUE BELL LN, OCEANSIDE, CA 92058-8648
(760) 402-2353
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
02/19/2014
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