Individual
JACINDA J PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3108 S FILLMORE ST, AMARILLO, TX 79110-1026
(806) 374-5516
Mailing address
3108 S FILLMORE ST, AMARILLO, TX 79110-1026
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
202659
TX
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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