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Individual

MS. MYRNA R. PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDN MPH

Contact information

Practice address
90 PHELPS AVE, ENGLEWOOD, NJ 07631-4913
(201) 290-8926
Mailing address
90 PHELPS AVE, ENGLEWOOD, NJ 07631-4913

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
005983
NY

Other

Enumeration date
03/24/2014
Last updated
03/24/2014
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