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Individual

JEZEL PEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
880 THIRD AVE, CHULA VISTA, CA 91911-1305
(619) 770-7228
Mailing address
3104 GLANCY DR, SAN YSIDRO, CA 92173-2883
(619) 770-7228

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49414
CA

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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