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Individual

JOSE MARI VILLALUZ PEREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1906 W GARVEY AVE S, WEST COVINA, CA 91790-2652
(310) 714-2795
Mailing address
1533 W 11TH ST APT 10, UPLAND, CA 91786-4151
(951) 483-0147
(951) 483-0147

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA

Other

Enumeration date
04/23/2026
Last updated
04/23/2026
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