Individual
MARVIN OMAR PEREZ-VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8000 YORK RD, TOWSON, MD 21252-0001
(410) 704-2000
Mailing address
17309 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20905-3703
(301) 742-4017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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