Individual
JANNETTE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10801 6TH ST STE 120, RANCHO CUCAMONGA, CA 91730-5987
(909) 291-8155
Mailing address
5750 DATE AVE, RIALTO, CA 92377-3937
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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