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Individual

MRS. WANDA GARRETT PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7500
(717) 228-1642
Mailing address
150 DREAM DR, LEBANON, PA 17046-2272
(717) 222-0240
(717) 228-1642

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN316611L
PA

Other

Enumeration date
11/17/2009
Last updated
08/22/2024
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