Individual
JOSHUA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 BLUFF CT, BELVIDERE, IL 61008-7835
(815) 315-5724
Mailing address
709 BLUFF CT, BELVIDERE, IL 61008-7835
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
P62042196030
IL
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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