Individual
ELENA MADELINE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1181 COSCO CT, HOLLISTER, CA 95023-3336
(408) 427-2677
Mailing address
1181 COSCO CT, HOLLISTER, CA 95023-3336
(408) 427-2677
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 248397
CA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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