Individual
AMBER MARIE PEREZ-EROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9973 FM 1651, CANTON, TX 75103-4009
(573) 489-9477
Mailing address
9973 FM 1651, CANTON, TX 75103-4009
(573) 489-9477
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3268701
—
164W00000X
Licensed Practical Nurse
Primary
2014030853
MO
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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