Individual provider · Type 1 NPI
Divina Elise Perez
Student in an Organized Health Care Education/Training Program · Norco, CA
NPI number
1053935353
Active
Practice location
5th Street & Western
Norco, CA 92860
Mailing address
1511 E Hazeltine St
Ontario, CA 91761-7243
Other practice locations
- 1481 Windsor Dr, San Bernardino, CA 92404-5416 · (909) 361-6470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4 other providers at this address
Other student in an organized health care education/training program providers in Norco
About NPI 1053935353
Divina Elise Perez's National Provider Identifier is 1053935353, issued on Jun 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norco, CA. The record was last updated on Aug 19, 2024.