Individual
JESSICA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 AIRWAY AVE, KINGMAN, AZ 86409-3620
(928) 681-2342
(928) 757-8314
Mailing address
3849 MOUNTAIN VIEW RD, BULLHEAD CITY, AZ 86442-8700
(928) 278-7706
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
01/24/2025
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