Individual
VICTORIA SAN NICOLAS PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
400 ROUTE 8 STE 303, MAITE, GU 96910-2003
(671) 475-0061
(671) 475-0065
Mailing address
400 ROUTE 8 STE 303, MAITE, GU 96910-2003
(671) 475-0061
(671) 475-0065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-12
GU
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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