Individual
MRS. SANDRA IRENE PERAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.O
Contact information
Practice address
426 W SHAW AVE, CLOVIS, CA 93612-3207
(559) 298-8262
(559) 298-7295
Mailing address
426 W SHAW AVE, CLOVIS, CA 93612-3207
(559) 298-8262
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL2416
CA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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