Individual
ALEXIS NICOLE PERAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14850 CENTRAL AVE, CHINO, CA 91710-9509
(909) 597-0504
Mailing address
4122 GILMAN RD, EL MONTE, CA 91732-2518
(323) 376-6475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19609
CA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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