Individual
VICTORIA MARIE PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4598 ROCK CANYON LOOP, LAS CRUCES, NM 88011-0957
(575) 571-8962
Mailing address
4598 ROCK CANYON LOOP, LAS CRUCES, NM 88011-0957
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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