Individual
MRS. JENNIFER MARY PEREZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12250 W NORTH AVE, WAUWATOSA, WI 53226-2066
(414) 217-7444
Mailing address
3519 E ALLERTON AVE, CUDAHY, WI 53110-1131
(414) 483-6981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39995800
—
WI
Enumeration date
01/05/2006
Last updated
07/08/2007
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