Individual
JENNIFER PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8529 MACKENZIE RD, AFFTON, MO 63123-3466
(636) 697-4852
Mailing address
28100 TORCH PKWY, WARRENVILLE, IL 60555-4026
(630) 413-5854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012023831
MO
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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