Individual
JESSICA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 W JUNIPER AVE UNIT 91, GILBERT, AZ 85233-3953
(631) 276-0834
Mailing address
250 W JUNIPER AVE UNIT 91, GILBERT, AZ 85233-3953
(631) 276-0834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP052038
AZ
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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