Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 130215705 | CA |
NPI | 1154728582 |
---|---|
Provider Name | Reyna Dayana Perez |
First Address | Paramount, CA 90723-8634 |
Second Address | Paramount, CA 90723-8634 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2014 |
Last Update Date | 01/12/2014 |