Individual
ALESHA DANIELLE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 REYNOLDS AVE, POTEAU, OK 74953-4724
(918) 649-0172
(918) 649-0316
Mailing address
1003 TARBY RD APT 7, POTEAU, OK 74953-5520
(918) 202-8507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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