Individual
MRS. KRYSTAL A PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 HIGHWAY 7 S, GREENWOOD, MS 38930-6056
(662) 299-9859
Mailing address
605 MIMOSA ST, GREENWOOD, MS 38930-5113
(662) 299-9859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904402
MS
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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