Individual
CHARLIE R PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
158 C AVE, CORONADO, CA 92118-1420
(619) 435-5400
Mailing address
158 C AVE, CORONADO, CA 92118-1420
(619) 435-5400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031274
CA
Other
Enumeration date
07/30/2024
Last updated
11/13/2024
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