Individual
MS. JACQUELINE R PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12921 ARVILA DR, VICTORVILLE, CA 92392-8330
(760) 686-6560
Mailing address
12921 ARVILA DR, VICTORVILLE, CA 92392-8330
(760) 686-6560
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 184980
CA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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