Individual
KISHA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NW 10TH ST, OKLAHOMA CITY, OK 73106-7220
(405) 528-4673
(405) 528-4674
Mailing address
900 NW 10TH ST, OKLAHOMA CITY, OK 73106-7220
(405) 528-4673
(405) 528-4674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
12/15/2011
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