Individual
LOUIS PERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10801 LOMAS BLVD NE, SUITE 115, ALBUQUERQUE, NM 87112-5401
(505) 238-6680
Mailing address
10801 LOMAS BLVD NE, SUITE 115, ALBUQUERQUE, NM 87112-5401
(505) 238-6680
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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