Individual
SARA J PEROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8300 CONSTITUTION AVE NE, KASEMAN HOSPITAL FOOD AND NUTRITION, ALBUQUERQUE, NM 87110-7613
(505) 291-2625
(505) 291-2446
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6
NM
Other
Enumeration date
10/03/2006
Last updated
10/20/2009
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