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Individual

CHARLES W. PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
785 UNIVERSITY AVE, CHRYSALIS COSMETICS, SACRAMENTO, CA 95825-6708
(916) 273-7435
Mailing address
785 UNIVERSITY AVE, CHRYSALIS COSMETICS, SACRAMENTO, CA 95825-6708
(916) 273-7435

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A87534
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A875340
CA
Enumeration date
11/01/2006
Last updated
10/31/2013
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