Individual
ANTONIO PEREZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADCIII B0011040519
Contact information
Practice address
1260 E ARROW HWY, UPLAND, CA 91786-4982
(909) 981-2171
(909) 981-2031
Mailing address
1260 E ARROW HWY, UPLAND, CA 91786-4982
(909) 981-2171
(909) 981-2031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B0011040519
CA
Other
Enumeration date
08/16/2007
Last updated
05/11/2022
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