Individual
TERESA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 DESERT GARDEN DR, SANTA TERESA, NM 88008-9420
(915) 549-7868
Mailing address
401 DESERT GARDEN DR, SANTA TERESA, NM 88008-9420
(915) 549-7868
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1T4038
NM
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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