Individual
DIANA LORENA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1173 ELEVENTH ST, LAKEPORT, CA 95453-4113
(925) 496-7777
Mailing address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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