Individual
TITA LYNETTE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 KANIAU RD, LAHAINA, HI 96761-1836
(760) 782-7621
Mailing address
67 KANIAU RD, LAHAINA, HI 96761-1836
(760) 782-7621
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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