Individual
NATHANAEL PERRIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC
Contact information
Practice address
2563 S VAL VISTA DR, SE CORNER OF VAL VISTA AND WILLIAMS FIELD, GILBERT, AZ 85295-1804
(480) 290-2533
Mailing address
8847 E POSADA AVE, MESA, AZ 85212-2842
(480) 290-2533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-16066
AZ
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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