Individual
JENIFFER PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MYRON ST STE A, WEST SPRINGFIELD, MA 01089-1485
(413) 592-1980
Mailing address
317 GILLETTE AVE, SPRINGFIELD, MA 01118-1216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
05/20/2013
Last updated
04/30/2026
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