Individual
ELIZABETH PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17727 E CYPRESS ST, COVINA, CA 91722-2634
(626) 858-4920
Mailing address
17136 BROADVALE DR, LA PUENTE, CA 91744-4253
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37168
CA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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