Individual
ANNA L. PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.A.S.
Contact information
Practice address
4459 VOLTAIRE DRIVE, CAMERON PARK, CA 95682-7309
(530) 676-8422
Mailing address
4459 VOLTAIRE DR, CAMERON PARK, CA 95682-7309
(530) 409-2067
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
942535820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215072293
PROGRESS HOUSE INC.
CA
Enumeration date
11/05/2012
Last updated
11/05/2012
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