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Individual

GENESIS PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1819 SMYTHE AVE SPC 73, SAN YSIDRO, CA 92173-1548
(619) 852-9536
Mailing address
1819 SMYTHE AVE SPC 73, SAN YSIDRO, CA 92173-1548
(619) 852-9536

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CA

Other

Enumeration date
02/17/2021
Last updated
02/17/2021
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