Individual
MARY E PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
622 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(505) 925-4045
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-4648
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R62653
NM
Other
Enumeration date
09/09/2009
Last updated
04/12/2018
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