Individual
ANTHONY S. PEREA-QUIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 DAUPHIN ST, MOBILE, AL 36608-1791
(850) 485-1833
Mailing address
4000 DAUPHIN ST, MOBILE, AL 36608-1780
(850) 485-1833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2928
AL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
04/09/2026
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