Individual
DANIELA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47592 DENTON RD, VAN BUREN TWP, MI 48111-2256
(734) 890-6295
Mailing address
47592 DENTON RD, VAN BUREN TWP, MI 48111-2256
(734) 890-6295
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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