Individual
LIZA PERAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 PINE CREEK RD, HOLBROOK, NY 11741-2292
(631) 721-8743
Mailing address
304 PINE CREEK RD, HOLBROOK, NY 11741-2292
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
265187-1
NY
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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