Individual
MRS. AWILDA CORNIEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 S UNION ST, LAWRENCE, MA 01843-2837
(978) 682-9222
Mailing address
25 ROYAL CREST DR APT 11, NORTH ANDOVER, MA 01845-6475
(978) 688-3842
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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