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Jennifer Lynn Perugini, MD
General Practice Physician in Beale Afb, California
NPI 1922632264

Jennifer Lynn Perugini is a General Practice Physician based in Beale Afb, CA. Jennifer Lynn Perugini practices in Beale Afb, CA and has the professional credentials of MD. The NPI Number for Jennifer Lynn Perugini is 1922632264 and holds a License No. 84528 (California).

The current practice location address for Jennifer Lynn Perugini is 15301 Warren Shingle Rd, Beale Afb, CA and can be reached out via phone at 530-634-2941.

Location: 15301 Warren Shingle Rd, Beale Afb, CA, 95903-1907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922632264
Provider Name
Jennifer Lynn Perugini
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15301 Warren Shingle Rd, Beale Afb, CA, 95903-1907
Phone Number
530-634-2941
Fax Number
Provider Enumeration Date
02/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105558447 01 SC DRIVER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
15301 Warren Shingle Rd
City
Beale Afb
State
California
Zip
95903-1907
Phone Number
530-634-2941
Fax Number
person
Provider Business Mailing Address Details
Address
15301 Warren Shingle Rd
City
Beale Afb
State
California
Zip
95903-1907
Phone Number
530-634-2941
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
84528 (South Carolina)
Definition
Definition to come...
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