Individual
MICHAEL RAE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 S MILLIKEN AVE STE L, ONTARIO, CA 91761-7846
(909) 916-0593
Mailing address
6288 GOLDEN TRAILS AVE, RANCHO CUCAMONGA, CA 91739-9109
(909) 916-0593
(909) 542-3176
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
CA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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