Individual
IAN STONE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(956) 336-9994
Mailing address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(956) 336-9994
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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