Individual
MRS. ROSAURA PEREZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11741 TELEGRAPH RD, G-H, SANTA FE SPRINGS, CA 90670-3681
(562) 949-8455
Mailing address
18827 ELIZONDO ST, LA PUENTE, CA 91744-6116
(626) 636-5604
(253) 550-1919
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 35794
CA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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