Individual
WENDY DAWN REED PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6700 N 1ST ST, SUITE 131, FRESNO, CA 93710-3900
(559) 432-3333
(559) 432-3336
Mailing address
101 E REDLANDS BLVD, SUITE 212, REDLANDS, CA 92373-4775
(909) 335-8649
(909) 557-1924
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12995
PHYSICIAN ASSISTANT LICEN
CA
Enumeration date
07/16/2007
Last updated
07/16/2007
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