Individual
JESSICA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1159 N CONWELL AVE APT 323, COVINA, CA 91722-1335
(626) 502-3229
Mailing address
1159 N CONWELL AVE APT 323, COVINA, CA 91722-1335
(626) 502-3229
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN710993
CA
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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