Individual
MRS. SANDRA ELIZABETH PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CNS
Contact information
Practice address
3908 10TH ST, RIVERSIDE, CA 92501-3522
(951) 274-7744
(951) 274-7754
Mailing address
2560 AMY WAY, RIVERSIDE, CA 92506-4501
(951) 369-3381
(951) 274-7754
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208624
REGISTERED NURSE
CA
01
—
530
CLINICAL NURSE SPECIALIST
CA
Enumeration date
01/11/2006
Last updated
10/02/2007
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