Individual
MRS. ROSA DEANNA PEREZ VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 THERESA ST, WATERTOWN, WI 53094-6737
(989) 274-3909
Mailing address
417 THERESA ST, WATERTOWN, WI 53094-6737
(989) 274-3909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
231387
WI
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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