Isabel Perodeau
Technician, Attendant Care Provider in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1821647819
StatusActive
Last updated in NPPESSep 11, 2019
Details
- NPI
- 1821647819
- Entity type
- Individual (NPI-1)
- Name
- Isabel Perodeau
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2019
- Last updated
- Sep 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
8651 Mignonette StRancho Cucamonga, CA 91701-4523
Phone 909-989-7231
Mailing address
8651 Mignonette StRancho Cucamonga, CA 91701-4523
Phone 909-989-7231
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