Individual
MISS IRENE PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16111 PLUMMER ST, NORTH HILLS, CA 91343-2036
(818) 891-7711
Mailing address
16111 PLUMMER ST, NORTH HILLS, CA 91343-2036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
826216
CA
363L00000X
Nurse Practitioner
Primary
95006974
CA
Other
Enumeration date
12/16/2015
Last updated
12/21/2021
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