Individual
MR. NATHAN MARK PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1611 W MAIN ST, EL CENTRO, CA 92243-2212
(760) 337-1144
Mailing address
1611 W MAIN ST, EL CENTRO, CA 92243-2212
(760) 337-1144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10512
CA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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