Individual
DELBERT PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10350 BASELINE RD SPC 232, RANCHO CUCAMONGA, CA 91701-6084
(909) 455-5130
Mailing address
10350 BASELINE RD SPC 232, RANCHO CUCAMONGA, CA 91701-6084
(909) 455-5130
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31360
CA
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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