Individual
MARIBEL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 374-8006
Mailing address
11047 OAK LN APT 3204, BELLEVILLE, MI 48111-1484
(268) 873-1725
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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