Individual
MS. LYDIA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 5TH ST STE 550, SANTA ANA, CA 92701-4599
(714) 834-4707
Mailing address
1038 S GIBRALTAR AVE, ANAHEIM, CA 92808-1576
(714) 234-8154
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN#120198
CA
Other
Enumeration date
09/07/2008
Last updated
09/07/2008
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