Individual
MRS. MARIE DANIELLA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 LEE AVE, LEESBURG, GA 31763-4117
(786) 385-8108
Mailing address
112 LEE AVE, LEESBURG, GA 31763-4117
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
RN288851
GA
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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