Individual
FABIOLA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
400 STATE ROAD 30, ESPANOLA, NM 87532-8208
(505) 753-8393
Mailing address
1601 QUESTA RD NE, RIO RANCHO, NM 87144-6324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009185
NM
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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