Provider Demographics
NPI:1427937473
Name:PEREZ, VANNESZA D
Entity type:Individual
Prefix:
First Name:VANNESZA
Middle Name:D
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VANNESZA
Other - Middle Name:D
Other - Last Name:COBBOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16519 VICTOR ST STE 424
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-3935
Mailing Address - Country:US
Mailing Address - Phone:760-515-2464
Mailing Address - Fax:
Practice Address - Street 1:16902 1ST ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-3111
Practice Address - Country:US
Practice Address - Phone:760-515-2464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist