Individual
LEO ALEXANDER PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
2321 ROOKERY WAY, VIRGINIA BEACH, VA 23455-1559
(808) 282-9529
Mailing address
2321 ROOKERY WAY, VIRGINIA BEACH, VA 23455-1559
(808) 282-9529
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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