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Individual

ANTHONY PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
901 SNEATH LN STE 105, SAN BRUNO, CA 94066-2415
(650) 515-9882
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-67670
CA
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/25/2018
Last updated
05/23/2019
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