Individual
BRISA GISSELLE PEREZ-MAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Mailing address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
ND
Other
Enumeration date
10/10/2024
Last updated
11/19/2025
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