Individual
ISMAEL ELIAH PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 331-4050
Mailing address
738 S SUNSET ACRES RD, OTHELLO, WA 99344-9545
(509) 331-4050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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