NPI 1598457780

Michael Rae Perez

Practitioner Religious Nonmedical Practitioner Ontario, CA

Practice location

Address: 350 S Milliken Ave STE L, Ontario, CA 91761-7846
Phone: (909) 916-0593
Mailing address: 6288 Golden Trails Ave, Rancho Cucamonga, CA 91739-9109

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in California →

Registry record

NPI: 1598457780
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2023
Record last updated: 24 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.