Individual
SAMARA ISABELLA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 CHESTNUT ST STE 304, PHILADELPHIA, PA 19106-3059
(215) 399-4128
(215) 399-4128
Mailing address
1601 SPRING GARDEN ST APT M102, PHILADELPHIA, PA 19130-3941
(732) 713-5570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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