Individual
DR. CARMEN PEREZ MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1125 GALLERIA BLVD, ROSEVILLE, CA 95678-1935
(916) 772-8804
Mailing address
7257 MILFORD ST, SACRAMENTO, CA 95822-4622
(916) 772-8804
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14441
CA
Other
Enumeration date
06/27/2012
Last updated
09/04/2012
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