Individual
CARMEN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF IDAHO 709 SOUTH DEAKIN ST, MOSCOW, ID 83844-0001
(208) 885-6111
Mailing address
396 LOIS ST APT 6, TWIN FALLS, ID 83301-7667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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