Individual
GLORIA S PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2460 22ND ST # W94, SAN FRANCISCO, CA 94110-2815
(628) 206-8524
Mailing address
1967 BANDONI AVE, SAN LORENZO, CA 94580-2109
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
696797
CA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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