Individual
MAIRA AZUCENA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
518 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-6901
Mailing address
518 W 1ST AVE, P.O. BOX 109, TOPPENISH, WA 98948-1564
(509) 865-6901
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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