Individual
MARLYNE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 ARIZONA ST, BISBEE, AZ 85603-1804
(520) 432-3309
(520) 432-3717
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1036163
AZ
133V00000X
Registered Dietitian
2014030930
MO
Other
Enumeration date
02/05/2016
Last updated
07/26/2019
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