Individual
MR. CRISTIAN ADRIAN PEREZ LATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1601474
CA
246ZC0007X
Surgical Assistant
14-646
CA
Other
Enumeration date
01/27/2016
Last updated
03/09/2020
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