Individual
MALEA ANN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
Mailing address
232 ADOBE RIDGE CIR APT 1, WASHINGTON, UT 84780-8451
(435) 218-2475
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
158940687
UT
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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