Individual
FERNANDO MIGUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2820 HPER CENTER, BROOKINGS, SD 57007-1497
(605) 688-4003
Mailing address
618 HERITAGE DRIVE, APARTMENT #12, BROOKINGS, SD 57006-3469
(801) 897-3146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SD
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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