Individual
RHODERICK PEREYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15753 FELLOWSHIP ST, LA PUENTE, CA 91744-1222
(626) 374-9450
Mailing address
15753 FELLOWSHIP ST, LA PUENTE, CA 91744-1222
(626) 374-9450
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
198603789
CA
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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