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Individual
MRS. SUE ELLEN PEREZ
Active
Individual
MRS. SUE ELLEN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
C5-0000337
DE
363A00000X
Physician Assistant
MA052372
PA
363A00000X
Physician Assistant
Primary
PA12152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017642A48
—
DE
Enumeration date
07/16/2006
Last updated
01/31/2025
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