Individual
DOMINIC F PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 660-4248
Mailing address
11017 SE 241ST PL APT L104, KENT, WA 98030-5362
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175T99994L
MENTAL HEALTH
WA
Enumeration date
11/15/2018
Last updated
11/15/2018
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