Individual
ALEJANDRA DE LA ROSA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(786) 322-9904
Mailing address
16101 SW 102ND AVE, MIAMI, FL 33157-3107
(786) 322-9904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011152
IL
Other
Enumeration date
01/29/2025
Last updated
03/03/2025
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