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Individual

MARIO JESUS PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4429 10TH ST, RIVERSIDE, CA 92501-3115
(910) 546-7251
Mailing address
4429 10TH ST, RIVERSIDE, CA 92501-3115
(910) 546-7251

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
101051
CA

Other

Enumeration date
06/06/2025
Last updated
06/06/2025
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