Individual
BRISEIDA OCEGUERA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3560 S 4TH ST, TERRE HAUTE, IN 47802-5540
(812) 235-8496
(812) 478-1540
Mailing address
3560 S 4TH ST, TERRE HAUTE, IN 47802-5540
(812) 235-8496
(812) 478-1540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
09/13/2024
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