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Individual

EIRA NENEXY PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-0001
(562) 469-9127
Mailing address
5747 ROOSEVELT AVE, SOUTH GATE, CA 90280-7839
(562) 521-6485

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000037890
CA
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/22/2017
Last updated
01/03/2020
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