Individual
GERALYN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BAXTER RD, RUSTON, LA 71270-3576
(318) 548-4459
Mailing address
133 BAXTER RD, RUSTON, LA 71270-3576
(318) 548-4459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
086991
LA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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