Individual
ALYSHAA MARIE AGBULOS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
156 HENRY ST, BROOKLYN, NY 11201-2504
(866) 389-2727
Mailing address
5620 DE LONGPRE AVE APT 715, LOS ANGELES, CA 90028-8747
(773) 414-3521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209025907
IL
363LF0000X
Family Nurse Practitioner
Primary
350369
NY
363LF0000X
Family Nurse Practitioner
95026066
CA
Other
Enumeration date
09/14/2022
Last updated
09/05/2025
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