Individual
LEILANI PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 TOWN CENTRE DR, MEDFORD, OR 97504-6172
(541) 499-0254
Mailing address
955 TOWN CENTRE DR, MEDFORD, OR 97504-6188
(541) 301-3802
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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