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Individual

CARMELA MARIE PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2102 N PEARL ST, SUITE 405, TACOMA, WA 98406-2530
(253) 752-8822
Mailing address
2102 N PEARL ST, SUITE 405, TACOMA, WA 98406-2530
(253) 752-8822

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60005690
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60621377
WA

Other

Enumeration date
11/22/2015
Last updated
02/13/2016
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