Wanda I Perez CLINICIAN

NPI 1417376419 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1417376419
Gender Female
Enumeration Date 04/08/2014
Last Updated 04/08/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
367 PINE STREET
SPRINGFIELD MA, 01105, US
Phone (413) 737-1426
Fax (413) 739-9988
Business Location
367 PINE STREET
SPRINGFIELD MA, 01105, US
Phone (413) 737-1426
Fax (413) 739-9988
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Wanda I Perez CLINICIAN NPI is 1417376419, taxonomy code is 390200000X Wanda I Perez CLINICIAN physically located at 367 Pine Street, Springfield MA, 01105. NPI Number Wanda I Perez CLINICIAN has the Individual type.

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1417376419 NPI number is provided on an as is basis without warranty of any kind. 1417376419 is maintained by the National Plan & Provider Enumeration System. The contents of Wanda I Perez CLINICIAN are for informational purposes only.