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Individual

MR. JOSE GIOVANNI SANTOS PERIDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5000 W OAKEY BLVD STE B8, LAS VEGAS, NV 89146-3395
(702) 202-6158
(702) 202-6772
Mailing address
1451 PAUL ST, SIMI VALLEY, CA 93065-3245
(805) 387-4327

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
05/26/2020
Last updated
05/27/2020
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