Individual
OVITA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 GOVERNOR CARLOS CAMACHO STREET, TAMUNING, GU 96913
(671) 477-5338
(671) 477-5330
Mailing address
790 GOVERNOR CARLOS CAMACHO STREET, TAMUNING, GU 96913
(671) 477-5338
(671) 477-5330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMT 126
GU
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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