Individual
ERICA DENISE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7215 JALISCO RD NW, ALBUQUERQUE, NM 87114-4564
(575) 495-5975
Mailing address
7215 JALISCO RD NW, ALBUQUERQUE, NM 87114-4564
(575) 495-5975
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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