Individual
CARMEN VANESSA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 LOGAN DR, LEWISVILLE, TX 75077-2505
(469) 236-0126
(214) 602-5441
Mailing address
1209 LOGAN DR, LEWISVILLE, TX 75077-2505
(469) 236-0126
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
146809
TX
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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