Individual
AMANDA ESTRELLITA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(786) 205-4456
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-9990
(215) 243-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT231325
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2024
Last updated
06/12/2024
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