Individual
JOSE R. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
NATIONAL INTREPID CENTER OF EXCELLENCE, 3-4303 LONGSTREET RD, FORT BRAGG, NC 28310-0001
(910) 907-6972
Mailing address
397 BULLARD CIR, FAYETTEVILLE, NC 28311-8827
(910) 907-6972
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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