Individual
MS. EDWINA YVETTE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6968
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN122186
GA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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