Individual
JACQUELINE PEREZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1525
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95385626
CA
Other
Enumeration date
10/15/2015
Last updated
01/06/2025
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