Individual
MS. NANCY MIRELLA LANGARICA PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4476 TWEEDY BLVD, SOUTH GATE, CA 90280-6359
(323) 825-8300
Mailing address
4476 TWEEDY BLVD, SOUTH GATE, CA 90280-6359
(323) 825-8300
(866) 372-2719
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
71775
CA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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