Individual
RITZIE MIGUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 E WINROW AVE, FT HUACHUCA, AZ 85613
(480) 669-6988
Mailing address
2400 E WINROW AVE, FT HUACHUCA, AZ 85613
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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