Individual
RUBY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E MAIN ST STE 117, BARSTOW, CA 92311-2365
(760) 255-1496
(760) 255-2542
Mailing address
309 E MOUNTAIN VIEW ST STE 100, BARSTOW, CA 92311-2814
(760) 256-7279
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
08/04/2022
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