Individual
MR. GUSTAVO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
137 N COTTONWOOD ST, WOODLAND, CA 95695-6646
(916) 889-9597
Mailing address
641 ASHLEY AVE, WOODLAND, CA 95695-3635
(916) 889-9597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95275928
CA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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