Individual
MRS. BETHANY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3621 TAFT PARK, METAIRIE, LA 70002-4559
(504) 376-7493
Mailing address
3621 TAFT PARK, METAIRIE, LA 70002-4559
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH. 200285
LA
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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