Individual
VANESSA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2403 PROFESSIONAL DR, SANTA ROSA, CA 95403-3007
(707) 544-3295
Mailing address
963 MADRONE RD # ATPB6, GLEN ELLEN, CA 95442-9686
(707) 890-2205
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
05/07/2026
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