JUSTIN TENAMAXTLY PEREZ

SACRAMENTO, CA
NPI1174266993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2022-04-19
Last Update Date2024-08-13
Business Address
JUSTIN TENAMAXTLY PEREZ
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-584-7800
Mailing Address
JUSTIN TENAMAXTLY PEREZ
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-584-7800