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Individual

MRS. SANDRA COLLEEN PERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.P.M., L.M.

Contact information

Practice address
1203 W. OLD U.S. 2, WAKEFIELD, MI 49968-9216
(906) 250-1969
(906) 224-1383
Mailing address
1203 W. OLD U.S. 2, WAKEFIELD, MI 49968-9216
(906) 250-1969
(906) 224-1383

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
38-049
WI

Other

Enumeration date
11/07/2011
Last updated
11/07/2011
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