JUSTIN TENAMAXTLY PEREZ

LAKEPORT, CA
NPI1174266993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-04-19
Last Update Date2025-01-08
Business Address
JUSTIN TENAMAXTLY PEREZ
150 S MAIN ST
LAKEPORT, CA 95453-5017
Phone number: 916-584-7800
Mailing Address
JUSTIN TENAMAXTLY PEREZ
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010