Individual
JACQUELINE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-7928
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-7928
Taxonomy
Speciality
Code
Description
License number
State
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
Primary
28796
CA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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